Organization Active NPI

Wholistic Recovery LLC

  • Addiction (Substance Use Disorder) Counselor
  • North Miami Beach, FL
National Provider Identifier
1144679911
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
WHOLISTIC RECOVERY LLC
Practice address
2020 NE 163Rd St
Suite 204
North Miami Beach, FL 33162-4927
Phone
(786) 395-5551
NPI assigned
Jun 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Authorized official

Name
Ken Duncan
Title
Owner
Phone
(786) 395-5551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

2020 NE 163Rd St
Suite 204
North Miami Beach, FL 33162-4927

Mailing address

2020 NE 163Rd St
Suite 204
North Miami Beach, FL 33162-4927
Phone (786) 395-5551

National Provider Directory

National Provider Directory

Locations

2020 NE 163rd St
Ste 204
North Miami Beach, FL 33162
Phone (786) 345-1510

NPI Registry JSON

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

{
    "created_epoch": "1465689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1144679911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 NE 163RD ST",
            "address_2": "SUITE 204",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624927",
            "telephone_number": "786-395-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 NE 163RD ST",
            "address_2": "SUITE 204",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624927",
            "telephone_number": "786-395-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLISTIC RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-12",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-395-5551"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.