Active NPI
Tommy L. Pool
Doing business as Holistic Wellness Institute
- Professional Counselor
- Odessa, TX
National Provider Identifier
1649781931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- TOMMY L. POOL
- Doing business as
- Holistic Wellness Institute
- Practice address
- 1205 W University Blvd
Odessa, TX 79764-7119 - Phone
- (432) 653-4981
- Fax
- (877) 614-6254
- NPI assigned
- Oct 13, 2017
- 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
- Mr. Tommy L. Pool II, LPC, LCDC, SAP
- Title
- Director
- Phone
- (432) 653-4981
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
1205 W University Blvd
Odessa, TX 79764-7119
Mailing address
1205 W University Blvd
Odessa, TX 79764-7119
Phone (432) 653-4981
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65821 | Other | TX | LICENSED PROFESSIONAL COUNSELOR |
| 10857 | Other | TX | LICENSED CHEMICAL DEPENDENCY COUNSELOR |
Other names 1
- Holistic Wellness Institute
National Provider Directory
National Provider Directory- Tax ID family
- Holistic Wellness Institute
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Holistic Wellness Institute
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Odessa, TX
- NPI 1891205217
Locations
1205 W University Blvd
Odessa, TX 79764
Phone (432) 653-4981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507852800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1649781931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 W UNIVERSITY BLVD",
"city": "ODESSA",
"state": "TX",
"postal_code": "797647119",
"telephone_number": "432-653-4981",
"fax_number": "877-614-6254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 W UNIVERSITY BLVD",
"city": "ODESSA",
"state": "TX",
"postal_code": "797647119",
"telephone_number": "432-653-4981",
"fax_number": "877-614-6254"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOMMY L. POOL",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-13",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "POOL",
"authorized_official_first_name": "TOMMY",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "432-653-4981",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "LPC, LCDC, SAP"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PROFESSIONAL COUNSELOR",
"identifier": "65821",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED CHEMICAL DEPENDENCY COUNSELOR",
"identifier": "10857",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Holistic Wellness Institute",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.