Provider Demographics
NPI:1861809352
Name:THE WHOLE BEING LLC
Entity type:Organization
Organization Name:THE WHOLE BEING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:COREY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:203-609-3252
Mailing Address - Street 1:2660 NORTH AVE
Mailing Address - Street 2:UNIT 238
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06604-2355
Mailing Address - Country:US
Mailing Address - Phone:203-609-3252
Mailing Address - Fax:
Practice Address - Street 1:21 BRIDGE SQ
Practice Address - Street 2:2ND FLOOR CORNER SUITE
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-5900
Practice Address - Country:US
Practice Address - Phone:203-609-3252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-16
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0084501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty