# MADE WHOLE PSYCHOTHERAPY SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Made Whole Counseling Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013655703
- **Authorized official:** PROF. OLLIS CARVER JR. MSAC, MSPC, LPCC (CEO, SR. THERAPIST)
- **Authorized official phone:** (707) 642-5139

## Contact information

- **Practice address:** 1100 ROSE DRIVE, SUITE 224, BENICIA, CA 94510-3608
- **Practice address phone:** (707) 642-5139
- **Practice address fax:** (707) 641-1104
- **Mailing address:** PO BOX 6691, VALLEJO, CA 94591-1691
- **Mailing address phone:** (707) 642-5139
- **Mailing address fax:** (707) 641-1104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/23/2022
- **Last updated:** 11/17/2023