Whole Body Health and Wellness Center Station 22

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WHOLE BODY HEALTH AND WELLNESS CENTER STATION 22

Practice address

17250 W 12 Mile Rd Ste 101
Southfield, MI 48076-2127

Phone

(248) 262-7420

NPI assigned

Jan 18, 2018

Organization subpart

No

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

Authorized official

Name

John Birge

Title

Ceo

Phone

(248) 262-7420

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516233600000",
    "number": "1275041725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17250 W 12 MILE RD STE 101",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17250 W 12 MILE RD STE 101",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762127",
            "telephone_number": "248-262-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE BODY HEALTH AND WELLNESS CENTER STATION 22",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A",
        "authorized_official_last_name": "BIRGE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-262-7420"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Whitfield
• Megan Whitney
• John Raymond Whittaker, M.D.
• Otie Whittaker
• Whole Body Health and Wellness Center Inc
• Wholecare Solutions LLC
• Wholistic Center for Restorative Health and Functional Medicine PLLC
• Wholistic Center for Restorative Health PLLC
• Wholistic Christian Counseling Center
• Wholistic Healing Ministries LLC

• Clinical Social Worker in Southfield, MI
• Providers in Southfield, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.