Provider Demographics
NPI:1053820472
Name:4 WHOLE HEALTH, LLC
Entity Type:Organization
Organization Name:4 WHOLE HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED HEALTH COACH
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:JOYNER
Authorized Official - Suffix:
Authorized Official - Credentials:CHC
Authorized Official - Phone:770-318-0946
Mailing Address - Street 1:239 CREEKWOOD RD
Mailing Address - Street 2:
Mailing Address - City:HARTWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30643-2766
Mailing Address - Country:US
Mailing Address - Phone:770-318-0946
Mailing Address - Fax:
Practice Address - Street 1:20 DEPOT ST
Practice Address - Street 2:
Practice Address - City:HARTWELL
Practice Address - State:GA
Practice Address - Zip Code:30643-7208
Practice Address - Country:US
Practice Address - Phone:770-318-0946
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-28
Last Update Date:2017-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty