Provider Demographics
NPI:1912371451
Name:WHOLEHEARTED DEVELOPMENT, LLC
Entity Type:Organization
Organization Name:WHOLEHEARTED DEVELOPMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL INSTRUCTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JOY
Authorized Official - Middle Name:NICOLETTER
Authorized Official - Last Name:LAPSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-329-2621
Mailing Address - Street 1:105 RUGBY HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28791-9000
Mailing Address - Country:US
Mailing Address - Phone:828-329-2621
Mailing Address - Fax:
Practice Address - Street 1:105 RUGBY HOLLOW DR
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-9000
Practice Address - Country:US
Practice Address - Phone:828-329-2621
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-20
Last Update Date:2015-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency