NPIMap

Organization Active NPI

Wholeness Behavioral Health Sevices, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Orleans, LA
National Provider Identifier
1235764879
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WHOLENESS BEHAVIORAL HEALTH SEVICES, LLC
Practice address
1301 Simon Bolivar Ave Rear
New Orleans, LA 70113-2222
Phone
(504) 421-3134
NPI assigned
Mar 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Authorized official

Name
Tracy Mungo
Title
Owner
Phone
(404) 680-9616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1301 Simon Bolivar Ave Rear
New Orleans, LA 70113-2222

Mailing address

1301 Simon Bolivar Ave Rear
New Orleans, LA 70113-2222
Phone (504) 421-3134

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL INTERNET Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1235764879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SIMON BOLIVAR AVE REAR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701132222",
            "telephone_number": "504-421-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SIMON BOLIVAR AVE REAR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701132222",
            "telephone_number": "504-421-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLENESS BEHAVIORAL HEALTH SEVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "MUNGO",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-680-9616"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "INTERNET",
            "affiliation": "N",
            "endpointDescription": "INTERNET USAGE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OFFICE USE",
            "address_1": "1301 Simon Bolivar Ave Rear",
            "city": "New Orleans",
            "state": "LA",
            "country_code": "US",
            "postal_code": "701132222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.