Organization
WHOLENESS HEALTH, LLC
Active
Parent organization
WHOLENESS HEALTH, LLC
Other names
Wholeness Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
WHOLENESS HEALTH, LLC
Authorized official
SCOTT SHANNON MD (PARTNER)
(970) 224-9458
Entity
Organization
Contact information
Practice address
2620 E PROSPECT RD STE 190, FORT COLLINS, CO 80525-9098
(970) 221-1106
(970) 232-1050
Mailing address
2620 E PROSPECT RD STE 190, FORT COLLINS, CO 80525-9098
(970) 221-1106
(970) 232-1050
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR1100X
Research Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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