Provider Demographics
NPI:1780207357
Name:WHOLENESS 2 PEACE CARE SERVICES
Entity type:Organization
Organization Name:WHOLENESS 2 PEACE CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN HARRELL
Authorized Official - Suffix:
Authorized Official - Credentials:MSC, PLPC
Authorized Official - Phone:623-688-1537
Mailing Address - Street 1:10000 N 31ST AVE STE A105
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85051-9568
Mailing Address - Country:US
Mailing Address - Phone:623-688-1537
Mailing Address - Fax:602-761-9610
Practice Address - Street 1:10000 N 31ST AVE STE A105
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85051-9568
Practice Address - Country:US
Practice Address - Phone:623-688-1537
Practice Address - Fax:602-761-9610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-18
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty