Provider Demographics
NPI:1225501349
Name:WHOLE LIFE COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:WHOLE LIFE COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MALONE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:740-701-8481
Mailing Address - Street 1:10 CENTRAL CTR
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-2253
Mailing Address - Country:US
Mailing Address - Phone:740-771-9022
Mailing Address - Fax:740-331-7555
Practice Address - Street 1:20 CENTRAL CTR
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-2253
Practice Address - Country:US
Practice Address - Phone:740-771-9022
Practice Address - Fax:740-331-7555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-11
Last Update Date:2019-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty