Provider Demographics
NPI:1740751940
Name:WHOLE ME COUNSELING LLC
Entity Type:Organization
Organization Name:WHOLE ME COUNSELING LLC
Other - Org Name:WHOLE ME COUNSELING LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IEEIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CURRIE
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW, LCSW, LISW
Authorized Official - Phone:734-635-8655
Mailing Address - Street 1:1606 S HURON ST UNIT 970392
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-7713
Mailing Address - Country:US
Mailing Address - Phone:734-635-8655
Mailing Address - Fax:
Practice Address - Street 1:455 E EISENHOWER PKWY # 300-013
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-3356
Practice Address - Country:US
Practice Address - Phone:734-635-8655
Practice Address - Fax:734-345-4387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-16
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1740751940Medicaid