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Wholistic Therapeutic Services
Adolescent and Children Mental Health Clinic/Center in Tifton, Georgia
NPI 1558971804

Wholistic Therapeutic Services is an Adolescent and Children Mental Health Clinic/Center based in Tifton, GA and is specialized in Adolescent and Children Mental Health. Wholistic Therapeutic Services practices in Tifton, GA. The NPI Number for Wholistic Therapeutic Services is 1558971804 and holds a License No. (Georgia).

The current practice location address for Wholistic Therapeutic Services is 911 Main St S, Tifton, GA and can be reached out via phone at 229-396-4689 and via fax at 229-396-4605.

Location: 911 Main St S, Tifton, GA, 31793-1743
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558971804
Provider Name
Wholistic Therapeutic Services
Credential
Provider Entity Type
Organization
Address
911 Main St S, Tifton, GA, 31793-1743
Phone Number
229-396-4689
Fax Number
229-396-4605
Provider Enumeration Date
08/02/2020
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003189286A 05 GA
institution
Provider Business Practice Location Address Details
Address
911 Main St S
City
Tifton
State
Georgia
Zip
31794-4867
Phone Number
229-396-4689
Fax Number
229-396-4605
person
Provider Business Mailing Address Details
Address
911 Main St S
City
Tifton
State
Georgia
Zip
31794-4867
Phone Number
229-396-4689
Fax Number
229-396-4605
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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