Provider Demographics
NPI:1033097118
Name:WHOLENESS COUNSELING, LLC
Entity type:Organization
Organization Name:WHOLENESS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LMHC
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:RANDO
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:631-384-7542
Mailing Address - Street 1:65 DODGE ST UNIT C
Mailing Address - Street 2:NORTH BEVERLY PLAZA #1013
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915
Mailing Address - Country:US
Mailing Address - Phone:978-228-1410
Mailing Address - Fax:
Practice Address - Street 1:65 DODGE ST UNIT C
Practice Address - Street 2:NORTH BEVERLY PLAZA #1013
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915
Practice Address - Country:US
Practice Address - Phone:978-228-1410
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)