Organization
WHOLENESS WITHIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER BROOKS MD (OWNER)
(203) 901-2493
Entity
Organization
Contact information
Practice address
4292 MEMORIAL DR STE C, DECATUR, GA 30032-1224
(203) 901-2493
(404) 738-3224
Mailing address
4292 MEMORIAL DR STE C, DECATUR, GA 30032-1224
(203) 901-2493
(404) 738-3224
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
Other
Enumeration date
12/13/2022
Last updated
04/28/2023
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