Provider Demographics
NPI:1720845548
Name:WHOLISTIC CARE COUNSELING AND WELLNESS
Entity Type:Organization
Organization Name:WHOLISTIC CARE COUNSELING AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAYLA
Authorized Official - Middle Name:E
Authorized Official - Last Name:BURROW
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC
Authorized Official - Phone:361-857-3058
Mailing Address - Street 1:5638 MARTINIQUE DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-5051
Mailing Address - Country:US
Mailing Address - Phone:361-857-3058
Mailing Address - Fax:
Practice Address - Street 1:5638 MARTINIQUE DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-5051
Practice Address - Country:US
Practice Address - Phone:361-857-3058
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty