Provider Demographics
NPI:1114600202
Name:WHOLESENSE COUNSELING & CONSULTATION, PLLC
Entity Type:Organization
Organization Name:WHOLESENSE COUNSELING & CONSULTATION, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:K
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LISW-CP
Authorized Official - Phone:704-425-8999
Mailing Address - Street 1:1005 REGAL HILLS LN
Mailing Address - Street 2:
Mailing Address - City:MABLETON
Mailing Address - State:GA
Mailing Address - Zip Code:30126-7266
Mailing Address - Country:US
Mailing Address - Phone:704-425-8999
Mailing Address - Fax:
Practice Address - Street 1:7895 WATERWAY DR NW
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-4441
Practice Address - Country:US
Practice Address - Phone:828-705-3330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-07
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty