Organization
WHOLISTIC RESTORATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AILSA COAKLEY (OWNER)
(301) 399-9119
Entity
Organization
Contact information
Practice address
16701 MELFORD BLVD STE 400, BOWIE, MD 20715-4411
(301) 399-9119
Mailing address
12530 FAIRWOOD PKWY STE 102231, BOWIE, MD 20720-6356
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
261QM0850X
Adult Mental Health Clinic/Center
03437
MD
Other
Enumeration date
10/29/2013
Last updated
06/01/2025
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