Provider Demographics
NPI:1386217271
Name:BECOMING WHOLE COUNSELING, LLC
Entity Type:Organization
Organization Name:BECOMING WHOLE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:A
Authorized Official - Last Name:CAVANAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:561-313-4877
Mailing Address - Street 1:101 WINDSOR CT
Mailing Address - Street 2:
Mailing Address - City:ATLANTIS
Mailing Address - State:FL
Mailing Address - Zip Code:33462-1015
Mailing Address - Country:US
Mailing Address - Phone:561-313-4877
Mailing Address - Fax:
Practice Address - Street 1:1825 FOREST HILL BLVD STE 204
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-6062
Practice Address - Country:US
Practice Address - Phone:561-313-4877
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-20
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1780269886OtherNPI