Wholeness Health LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WHOLENESS HEALTH LLC

Practice address

6899 NW 28TH Way
Fort Lauderdale, FL 33309-1325

Phone

(954) 800-8339

NPI assigned

Apr 8, 2021

Organization subpart

No

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

Authorized official

Name

Melissa H Lutz, MA

Title

Ceo

Phone

(443) 252-4100

Specialties & licenses 4

Addresses

Other names 1

• Wholeness Health Former legal business name

Tax ID family

Wholeness Butterfly Foundation2 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.

• Wholeness Ministries Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Lauderdale, FL
  • NPI 1174191589
  NPD tax ID

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1306426069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6899 NW 28TH WAY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091325",
            "telephone_number": "954-800-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6899 NW 28TH WAY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091325",
            "telephone_number": "954-800-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLENESS HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "LUTZ",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-252-4100",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wholeness Health",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Tiffany Ann Whitman, APRN
• Douglas M Whitmore, M.D.
• Nancy Geray Whittaker
• Nikeisha Whittick
• Alice Ann Whittington-Gulba, FNP-C
• Wholeness Ministries Inc.
• Wick Medical Supplies LLC
• Wickshire Fort Lauderdale Opco LLC
• Valerie Wideroff
• Emma Wiegmann, OD

• Clinical Social Worker in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.