Wholehearted Therapy LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WHOLEHEARTED THERAPY LLC

Practice address

1 W Park Ave Unit B
Eustis, FL 32726-2900

Phone

(863) 825-5646

NPI assigned

Feb 15, 2022

Organization subpart

No

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

Authorized official

Name

Charlotte Osborne, LMHCNPI 1386243343

Title

Owner

Phone

(352) 638-5847

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Charlotte Osborne Other name

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charlotte Osborne

  • Counselor
  • Eustis, FL
  • NPI 1386243343
  NPD Authorized official

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1851046239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33904 CLARA DR",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347884553",
            "telephone_number": "352-638-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W PARK AVE UNIT B",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327262900",
            "telephone_number": "863-825-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLEHEARTED THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-638-5847",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAP",
            "identifier": "ADC-011572-2015",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Wholeheartedtherapyllc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 W Park Ave Unit B",
            "city": "Eustis",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327262900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Charlotte Osborne",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Community/Behavioral Health Agency in Eustis, FL
• Providers in Eustis, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.

Verify at the official NPI Registry.