Provider Demographics
NPI:1568059962
Name:WHOLE COLLECTIVE, LLC
Entity Type:Organization
Organization Name:WHOLE COLLECTIVE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:ERIN
Authorized Official - Last Name:SHEARMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LIMHP, PLADC
Authorized Official - Phone:402-658-5809
Mailing Address - Street 1:415 LEAVENWORTH ST APT 367
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68102-2981
Mailing Address - Country:US
Mailing Address - Phone:402-658-5809
Mailing Address - Fax:
Practice Address - Street 1:415 LEAVENWORTH ST APT 367
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68102-2981
Practice Address - Country:US
Practice Address - Phone:402-658-5809
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-31
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health