Provider Demographics
NPI:1235990896
Name:WHOLE HEALTH ADVOCATES
Entity Type:Organization
Organization Name:WHOLE HEALTH ADVOCATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER AND CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:M
Authorized Official - Last Name:LIGHTFOOT
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:404-326-0007
Mailing Address - Street 1:11394 LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:MD
Mailing Address - Zip Code:20759-2509
Mailing Address - Country:US
Mailing Address - Phone:202-494-0391
Mailing Address - Fax:
Practice Address - Street 1:11394 LIBERTY ST
Practice Address - Street 2:
Practice Address - City:FULTON
Practice Address - State:MD
Practice Address - Zip Code:20759-2509
Practice Address - Country:US
Practice Address - Phone:202-494-0391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Multi-Specialty