Provider Demographics
NPI:1811571532
Name:WHOLEVIEW WELLNESS, LLC
Entity Type:Organization
Organization Name:WHOLEVIEW WELLNESS, LLC
Other - Org Name:WHOLEVIEW DIRECT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHURCH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:917-776-9929
Mailing Address - Street 1:369 LEXINGTON AVE., STE 14A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017
Mailing Address - Country:US
Mailing Address - Phone:212-204-8430
Mailing Address - Fax:
Practice Address - Street 1:369 LEXINGTON AVENUE
Practice Address - Street 2:SUITE 14A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017
Practice Address - Country:US
Practice Address - Phone:212-204-8430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-09
Last Update Date:2022-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder