Provider Demographics
NPI:1568149243
Name:WHOLISTIC COUNSELING AND COACHING SERVICES
Entity Type:Organization
Organization Name:WHOLISTIC COUNSELING AND COACHING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMFT
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CARROLL
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:612-347-9522
Mailing Address - Street 1:462 HARBOR CIR
Mailing Address - Street 2:
Mailing Address - City:SHOREVIEW
Mailing Address - State:MN
Mailing Address - Zip Code:55126-1934
Mailing Address - Country:US
Mailing Address - Phone:612-991-8949
Mailing Address - Fax:
Practice Address - Street 1:462 HARBOR CIR
Practice Address - Street 2:
Practice Address - City:SHOREVIEW
Practice Address - State:MN
Practice Address - Zip Code:55126-1934
Practice Address - Country:US
Practice Address - Phone:612-470-9522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)