Wholistically Divine

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

WHOLISTICALLY DIVINE

Practice address

185 Heffron Cir
Maineville, OH 45039-7342

Phone

(614) 381-1359

NPI assigned

Aug 26, 2024

Organization subpart

No

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

Authorized official

Name

Erica Gordon, CDNPI 1417587114

Title

Owner

Phone

(614) 381-1359

Specialties & licenses 4

Addresses

Practitioners 1

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

• Erica Gordon

  • Doula
  • Maineville, OH
  • NPI 1417587114
  NPD Authorized official

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1962235796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 HEFFRON CIR",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "450397342",
            "telephone_number": "614-381-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 HEFFRON CIR",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "450397342",
            "telephone_number": "614-381-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLISTICALLY DIVINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-381-1359",
        "authorized_official_credential": "CD"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald George Weintz Jr., RPH
• Diane Marie Wend-Welch, PCC
• Jason Bruce Wheeler, DPT
• Amber Whitlatch, MSN, APRN, PMHNP-BC
• Sheyla Renee Whittle, LMT
• Kacey Widmeyer, IBCLC
• Sarah Wikum, M.A., CCC-SLP
• David M Willis, LPC
• Cristina Wires, LPN
• Steven Michael Woodfield, RPH

• Community Health Clinic/Center in Maineville, OH
• Providers in Maineville, OH by specialty
• Community Health Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.