Provider Demographics
NPI:1114543634
Name:WHOLE AGAIN COUNSELING AND WELLNESS, LLC
Entity Type:Organization
Organization Name:WHOLE AGAIN COUNSELING AND WELLNESS, LLC
Other - Org Name:GINGER STEPHENS, MA, LPC. LCDC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GINGER
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPHENS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LCDC
Authorized Official - Phone:936-305-3070
Mailing Address - Street 1:1808 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:NACOGDOCHES
Mailing Address - State:TX
Mailing Address - Zip Code:75964-6120
Mailing Address - Country:US
Mailing Address - Phone:936-615-1122
Mailing Address - Fax:
Practice Address - Street 1:1808 SOUTH ST
Practice Address - Street 2:
Practice Address - City:NACOGDOCHES
Practice Address - State:TX
Practice Address - Zip Code:75964-6120
Practice Address - Country:US
Practice Address - Phone:936-615-1122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-20
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1720523657OtherNPI