Provider Demographics
NPI:1841171303
Name:WHOLE BEING HEALTHCARE, LLC
Entity type:Organization
Organization Name:WHOLE BEING HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRE
Authorized Official - Middle Name:
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-987-6107
Mailing Address - Street 1:80 BURBANK DR NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30314-2416
Mailing Address - Country:US
Mailing Address - Phone:267-975-6765
Mailing Address - Fax:470-299-7978
Practice Address - Street 1:1129 HOSPITAL DR STE 1A
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-6393
Practice Address - Country:US
Practice Address - Phone:267-975-6765
Practice Address - Fax:470-299-7978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty