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Contact Information

WHOLE HUMAN COUNSELING AND PERFORMANCE, LLC
792 S BERMONT AVE
LAFAYETTE, CO80026-1519
 Phone: 732-567-6544
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Exercise & Sports

103TE1100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for WHOLE HUMAN COUNSELING AND PERFORMANCE, LLC

NPI # 1841875390
LBN Legal business name WHOLE HUMAN COUNSELING AND PERFORMANCE, LLC
Authorized official MACKENZIE BROWN - (CLINICAL PSYCHOLOGIST, SPORT PSYCH)
Entity Organization
Organization subpart 1 No
Enumeration date 03/16/2021
Last updated 03/16/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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