Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pastoral |
101YP1600X | |||
Mental Health |
101YM0800X |
| NPI Number | 1992570626 |
| LBN Legal business name | BE WHOLLY PASTORAL COUNSELING LLC |
| Authorized official | DEVORAH VINEBURG - (OFFICE MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/22/2023 |
| Last updated | 11/22/2023 - About 3 years ago |
| Identifiers | n/a |
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