Provider Demographics
NPI:1710580345
Name:WHOLE SOUL COUNSELING LLC
Entity Type:Organization
Organization Name:WHOLE SOUL COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:H
Authorized Official - Last Name:SACHAROFF
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:203-859-9335
Mailing Address - Street 1:71 ELIZABETH AVE
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06907-2430
Mailing Address - Country:US
Mailing Address - Phone:203-828-0057
Mailing Address - Fax:
Practice Address - Street 1:1250 SUMMER ST STE 304
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-5318
Practice Address - Country:US
Practice Address - Phone:203-859-9335
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-17
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health