Whole Mind & Heart Psychotherapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WHOLE MIND & HEART PSYCHOTHERAPY LLC

Practice address

123 Eagles Landing Pkwy
Stockbridge, GA 30281-5092

Phone

(678) 632-3847

Fax

(678) 696-7971

NPI assigned

Feb 15, 2022

Organization subpart

No

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

Authorized official

Name

Maddie Melissa Oden, LCSWNPI 1326709510

Title

Owner

Phone

(678) 632-3847

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maddie Melissa Oden, LCSW

  • Clinical Social Worker
  • Stockbridge, GA
  • NPI 1326709510
  NPD Authorized official

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1295480648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ARBOR WAY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538715",
            "telephone_number": "678-632-3847",
            "fax_number": "678-696-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 EAGLES LANDING PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815092",
            "telephone_number": "678-632-3847",
            "fax_number": "678-696-7971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE MIND & HEART PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "ODEN",
        "authorized_official_first_name": "MADDIE",
        "authorized_official_middle_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-632-3847",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "CSW007546",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria White
• Yakeissa Shonta White
• Tamica Michelle Whiten, AGACNP-BC, FNP-BC
• Stephanie Whittick
• Whole Being Healthcare, LLC
• Ronald Douglas Wichman, MD
• Ashley Wiggins
• Bianca Janae Wiggins
• Brooke Zoe Wilcher
• Naomi Wilds

• Clinical Social Worker in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.