Organization
WHOLEHEARTED HEALING COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE CHACIN LPC (OWNER)
(678) 824-5899
Entity
Organization
Contact information
Practice address
271B S CULVER ST STE H, LAWRENCEVILLE, GA 30046-4805
(678) 824-5899
Mailing address
271B S CULVER ST STE H, LAWRENCEVILLE, GA 30046-4805
(719) 290-0525
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
008888
GA
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12573679
CAQH
GA
Enumeration date
05/24/2016
Last updated
12/10/2024
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