Provider Demographics
NPI:1043620305
Name:OUR WHOLE LIVES, PLLC
Entity Type:Organization
Organization Name:OUR WHOLE LIVES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATHI
Authorized Official - Middle Name:JO
Authorized Official - Last Name:BIVENS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:828-243-6703
Mailing Address - Street 1:619 OAKLAND ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28791-3645
Mailing Address - Country:US
Mailing Address - Phone:828-243-6703
Mailing Address - Fax:828-595-4300
Practice Address - Street 1:619 OAKLAND ST
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-3645
Practice Address - Country:US
Practice Address - Phone:828-243-6703
Practice Address - Fax:828-595-4300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-07
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10521251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health