Made Whole Therapeutic Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MADE WHOLE THERAPEUTIC SERVICES LLC

Practice address

732 Thimble Shoals Blvd Ste 304
Newport News, VA 23606-4258

Phone

(804) 490-3365

NPI assigned

Apr 9, 2026

Organization subpart

No

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

Authorized official

Name

Mataya Taylor-Makell

Title

Owner

Phone

(804) 490-3365

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1775692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1487596185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 LIGHTHOUSE WAY",
            "city": "CARROLLTON",
            "state": "VA",
            "postal_code": "233143364",
            "telephone_number": "804-490-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 THIMBLE SHOALS BLVD STE 304",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064258",
            "telephone_number": "804-490-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADE WHOLE THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-09",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "TAYLOR-MAKELL",
        "authorized_official_first_name": "MATAYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-490-3365"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Albert Maclaren, MD
• Diane Andaya Maddela, D.O.
• Quintina Denise Madden, COTA/L
• John Coulter Maddox, MD
• Ruth W Maddux
• Andres Savero Maeso
• Nassim Mafi, MD
• Nicole Magliulo
• Margaret Mahaffy, PMHNP
• Razeen Monnan Mahmud, DO

• Community/Behavioral Health Agency in Newport News, VA
• Providers in Newport News, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.