Organization
WHOLEHEARTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JACKSON LPC (OWNER)
(480) 561-6191
Entity
Organization
Contact information
Practice address
1530 E WILLIAMS FIELD RD STE 201, GILBERT, AZ 85295-1825
(480) 561-6191
Mailing address
1530 E WILLIAMS FIELD RD STE 201, GILBERT, AZ 85295-1825
(480) 561-6191
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/29/2021
Last updated
09/06/2023
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