Wholistic Restorations LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

WHOLISTIC RESTORATIONS LLC

Practice address

16701 Melford Blvd Ste 400
Bowie, MD 20715-4411

Phone

(301) 399-9119

NPI assigned

Oct 29, 2013

Organization subpart

No

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

Authorized official

Name

Ailsa Coakley

Title

Owner

Phone

(301) 399-9119

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748736000000",
    "number": "1023446002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12530 FAIRWOOD PKWY STE 102231",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207206356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16701 MELFORD BLVD STE 400",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154411",
            "telephone_number": "301-399-9119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6701 Democracy Blvd",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208171572",
            "country_code": "US",
            "telephone_number": "301-399-9119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5904 Richmond Hwy",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223031875",
            "country_code": "US",
            "telephone_number": "301-399-9119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 Conn Ave NW Ste 500",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200365304",
            "country_code": "US",
            "telephone_number": "301-399-9119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 K St NW Fl 2",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200051209",
            "country_code": "US",
            "telephone_number": "301-399-9119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WHOLISTIC RESTORATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2025-06-01",
        "certification_date": "2025-06-01",
        "status": "A",
        "authorized_official_last_name": "COAKLEY",
        "authorized_official_first_name": "AILSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-399-9119"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MD",
            "license": "03437",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charnetta Kristin Yvonne Whitehead
• Debra V Whitehurst Brown, MD
• Morgen Whiteman, M.A. CCC-SLP
• Kiesha L. Whitfield, PHARMD
• Wholistic Home Care, LLC
• Shemile Joyce Mata Wiggin
• Mumsy Wilberforce
• Wendy Wilcox, M.S., LCMFT
• Wilfreda J. Cruz, LCSW-C, P.a.
• Melanie Wilkinson, PTA

• Clinical Psychologist in Bowie, MD
• Providers in Bowie, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2025; 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.