Active NPI
Whole Person Wellness PLLC
- Clinical Social Worker
- Emporia, VA
National Provider Identifier
1124618905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryNPI 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.