Active NPIOrganization

The Wholeness Center, LLC

Social Worker, Clinical in Brockton, Massachusetts

NPI Number1265834766
Practice location
370 Oak St Ste C, Brockton, MA 02301-1303
Fax
508-580-3805
Last updated
April 28, 2020

The Wholeness Center, LLC is a healthcare organization based in Brockton, MA. The Wholeness Center, LLC practices in Brockton, MA. The NPI Number for The Wholeness Center, LLC is 1265834766 and holds a License No. s50130595 (MA). The current practice location address for The Wholeness Center, LLC is 370 Oak St Ste C, Brockton, MA 02301-1303 and can be reached out via phone at 508-580-3800 and via fax at 508-580-3805.

Provider Profile Details

NPI Number
1265834766
Provider Name
The Wholeness Center, LLC
Provider Entity Type
Organization
Address
370 Oak St Ste C, Brockton, MA 02301-1303
Phone Number
508-580-3800
Fax Number
508-580-3805
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Organization Subpart
No
Authorized Official
Sandra Garcon, LICSW · Owner · 508-580-3800
Provider Enumeration Date
September 16, 2014
Last Update Date
April 28, 2020
Certification Date
April 28, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
370 Oak St Ste C
Brockton, MA 02301-1303
Zip
02301-1303
Phone Number
508-580-3800
Fax Number
508-580-3805
Brockton, MA 02301Get directions →

Provider Business Mailing Address Details

Address
1367 Main St
Brockton, MA 02301-7111
City
Brockton
State
MA
Zip
02301-7111
Phone Number
508-580-3800
Fax Number
508-580-3805

License Information

License Number (1)
s50130595
License State (1)
MA
Taxonomy (1)
Community/Behavioral Health · 251S00000X
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of The Wholeness Center, LLC?

The NPI number of The Wholeness Center, LLC is 1265834766. It was assigned on September 16, 2014 and is currently active in the NPPES registry.

What is the specialty of The Wholeness Center, LLC?

The Wholeness Center, LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number s50130595.

Where does The Wholeness Center, LLC practice?

The practice location is 370 Oak St Ste C, Brockton, MA 02301-1303. The office can be reached at 508-580-3800 (phone) or 508-580-3805 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265834766 directly on the NPPES registry website.

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