Provider Demographics
NPI:1851048078
Name:WHOLE HEART HEALING LLC
Entity Type:Organization
Organization Name:WHOLE HEART HEALING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:VERRIEST
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:267-810-2782
Mailing Address - Street 1:196 W ASHLAND ST STE 311
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-4040
Mailing Address - Country:US
Mailing Address - Phone:267-810-2782
Mailing Address - Fax:
Practice Address - Street 1:196 W ASHLAND ST STE 311
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-4040
Practice Address - Country:US
Practice Address - Phone:267-810-2782
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-08
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty