Whole Life Health Support Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

20111426158 Issued in NV

Legal business name

WHOLE LIFE HEALTH SUPPORT SERVICES

Practice address

2525 N Decatur Blvd Ste 2
Las Vegas, NV 89108-2976

Phone

(702) 321-6222

NPI assigned

Jun 15, 2011

Organization subpart

No

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

Authorized official

Name

Michelle Jackson

Title

Ceo

Phone

(702) 321-6222

Specialties & licenses 1

Addresses

Tax ID family

Whole Life Health Support Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Whole Life Health Therapy and Wellness Center

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1841542339
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Whole Life Health Therapy and Wellness Center

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1841542339
  NPPES parent name

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1164717484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7124 DIVING PETRELS PL",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890842353",
            "telephone_number": "702-321-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 N DECATUR BLVD STE 2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891082976",
            "telephone_number": "702-321-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE LIFE HEALTH SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-321-6222"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "20111426158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raghyn Whitton
• Hope Whitworth
• Whole Body Wellness PLLC
• Whole Health Collective LLC
• Whole Health Counseling LLC
• Whole Life Health Therapy and Wellness Center
• Whole Life Integrated Care LLC
• Whole Life Personal Care Agency
• Whole Mind Whole Body Health LLC
• Whole Nutrition Lifestyles, LLC

• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.