Organization Active NPI

Wholeistic You PLLC

  • Clinical Social Worker
  • Livonia, MI
National Provider Identifier
1497302889
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WHOLEISTIC YOU PLLC
Practice address
15223 Farmington Rd
Livonia, MI 48154-5411
Phone
(734) 377-3589
NPI assigned
Aug 21, 2019
Last updated
Dec 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Authorized official

Name
Monika Domke, LMSWNPI 1578911707
Title
Owner
Phone
(734) 968-3549

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

15223 Farmington Rd
Livonia, MI 48154-5411

Mailing address

31741 Cambridge St
Livonia, MI 48154-3139
Phone (734) 968-3549

Other identifiers 1

IdentifierTypeStateIssuer
6801091472OtherMISTATE LICENSE LMSW

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.wholeisticyou.com

National Provider Directory

National Provider Directory

Locations

15223 Farmington Rd
Livonia, MI 48154
Phone (734) 377-3589

15223 Farmington Rd
Ste 8
Livonia, MI 48154
Phone (734) 377-3589

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1497302889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31741 CAMBRIDGE ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543139",
            "telephone_number": "734-968-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15223 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545411",
            "telephone_number": "734-377-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLEISTIC YOU PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "DOMKE",
        "authorized_official_first_name": "MONIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-968-3549",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE LMSW",
            "identifier": "6801091472",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.wholeisticyou.com",
            "affiliation": "N",
            "address_1": "15223 Farmington Rd",
            "city": "Livonia",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481545411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.