Wholistic Medicine Clinic of Stuart, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WHOLISTIC MEDICINE CLINIC OF STUART, LLC

Practice address

55 SE Osceola St
Suite 102
Stuart, FL 34994-2149

Phone

(772) 288-3668

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. William G Tye III

Title

Managing Partner

Phone

(772) 287-2677

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003972738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SE OSCEOLA ST",
            "address_2": "SUITE 102",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942149",
            "telephone_number": "772-288-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SE OSCEOLA ST",
            "address_2": "SUITE 102",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942149",
            "telephone_number": "772-288-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLISTIC MEDICINE CLINIC OF STUART, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TYE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "772-287-2677",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "24574",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawn Whitney
• Yalis Whittington
• Whole Within Counseling, LLC
• Wholistic Medical Center of Stuart LLC
• Wholistic Medical Center of Stuart LLC
• Grace Wibbels
• Kathryn Wich, M.ED./ED.S., LMHC
• Genon Michelle Wicina, M.D.
• Alexa Gabrielle Widmann
• Kimbra Widner

• Clinic/Center in Stuart, FL
• Providers in Stuart, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.