Organization Active NPI

Whole Person Wellness PLLC

  • Clinical Social Worker
  • Emporia, VA
National Provider Identifier
1124618905
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WHOLE PERSON WELLNESS PLLC
Practice address
420 S Main St Ste C
Emporia, VA 23847-0016
Phone
(252) 343-4800
NPI assigned
Jan 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Authorized official

Name
Miss Yvonne Levette Cooper, LCSW
Title
Owner/ Clinical Provider
Phone
(252) 343-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

420 S Main St Ste C
Emporia, VA 23847-0016

Mailing address

1206 Stoneridge LN
Rocky Mount, NC 27804-9640
Phone (252) 343-4800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1124618905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 STONERIDGE LN",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278049640",
            "telephone_number": "252-343-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S MAIN ST STE C",
            "city": "EMPORIA",
            "state": "VA",
            "postal_code": "238470016",
            "telephone_number": "252-343-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE PERSON WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "LEVETTE",
        "authorized_official_title_or_position": "OWNER/ CLINICAL PROVIDER",
        "authorized_official_telephone_number": "252-343-4800",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emporia, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.