Active NPI
Wholesome Healing Services, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Brandon, FL
National Provider Identifier
1558003202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- WHOLESOME HEALING SERVICES, LLC
- Practice address
- 1317 Canyon Oaks Dr
Brandon, FL 33510-2175 - Phone
- (813) 401-5958
- NPI assigned
- Apr 12, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Simone M Clement-Joseph, APRN
- Title
- Manager
- Phone
- (813) 401-5958
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1317 Canyon Oaks Dr
Brandon, FL 33510-2175
Mailing address
2424 W Brandon Blvd # 1300
Brandon, FL 33511-4717
Phone (181) 340-1595
National Provider Directory
National Provider DirectoryLocations
2424 W Brandon Blvd
#1300
Brandon, FL 33511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649721600000",
"number": "1558003202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2424 W BRANDON BLVD # 1300",
"city": "BRANDON",
"state": "FL",
"postal_code": "335114717",
"telephone_number": "181-340-1595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1317 CANYON OAKS DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "335102175",
"telephone_number": "813-401-5958"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHOLESOME HEALING SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-12",
"last_updated": "2022-04-12",
"certification_date": "2022-04-12",
"status": "A",
"authorized_official_last_name": "CLEMENT-JOSEPH",
"authorized_official_first_name": "SIMONE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "813-401-5958",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.