Provider Demographics
NPI:1245952084
Name:HOLISTIC GROWTH PSYCHOLOGY
Entity type:Organization
Organization Name:HOLISTIC GROWTH PSYCHOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SPEARS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:540-490-2215
Mailing Address - Street 1:PO BOX 814
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:VA
Mailing Address - Zip Code:22980-0600
Mailing Address - Country:US
Mailing Address - Phone:540-490-2215
Mailing Address - Fax:
Practice Address - Street 1:423 SANDY RIDGE RD
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:VA
Practice Address - Zip Code:22980-8935
Practice Address - Country:US
Practice Address - Phone:540-490-2215
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty