Organization Active NPI

Whole Body Health and Wellness Center Inc

  • Mental Health Counselor
  • Southfield, MI
National Provider Identifier
1003289166
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6801011245 Issued in MI
Legal business name
WHOLE BODY HEALTH AND WELLNESS CENTER INC
Practice address
17250 W 12 Mile Rd
Southfield, MI 48076-2127
Phone
(248) 632-6737
NPI assigned
Nov 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Varonica Freeman
Title
Billing Manager
Phone
(513) 260-9643

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X SA0823273 MI
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 6801011245 MI Primary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X SA0823273 MI
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X SA0823273 MI

Addresses

Primary practice location

17250 W 12 Mile Rd
Southfield, MI 48076-2127

Mailing address

22341 W 8 Mile Rd
Detroit, MI 48219-1217
Phone (248) 632-6737

National Provider Directory

National Provider Directory

Locations

17250 W 12 Mile Rd
Southfield, MI 48076
Phone (248) 632-6737

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003289166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22341 W 8 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482191217",
            "telephone_number": "248-632-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17250 W 12 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762127",
            "telephone_number": "248-632-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE BODY HEALTH AND WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "VARONICA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "513-260-9643",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "SA0823273",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801011245",
            "primary": true
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "MI",
            "license": "SA0823273",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MI",
            "license": "SA0823273",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.