WHOLISTIC THERAPEUTIC SERVICES
NPI 1558971804
Clinic/Center - Mental Health (Including Community Mental Health Center) in Tifton, GA

Q: What is Wholistic Therapeutic Services's NPI number?

The NPI number for Wholistic Therapeutic Services is 1558971804. It was assigned to this organization in the NPPES registry on August 2, 2020.

Q: What is Wholistic Therapeutic Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since August 02, 2020

911 MAIN ST S, TIFTON, GA 31794(229) 396-4689(229) 396-4605 Get Directions Write a Review

NPPES record last updated: August 2, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Wholistic Therapeutic Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHOLISTIC THERAPEUTIC SERVICES (NPI 1558971804) is a healthcare organization registered as a mental health (including community mental health center) in Tifton, Georgia and active in the NPI registry since August 2020. The organization lists Jamie V. Tanner, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1558971804

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameWHOLISTIC THERAPEUTIC SERVICES

Location Address911 MAIN ST STifton, GA 31794-4867

Mailing AddressPo Box 1743Tifton, GA 31793-1743 · (229) 396-4689 · Fax (229) 396-4605

Phone(229) 396-4689

Fax(229) 396-4605

Organization SubpartNo

Authorized OfficialJamie V. TannerOperations Manager · (229) 396-4689

Enumeration DateAugust 2, 2020

NPPES CertifiedAugust 2, 2020

✔ NPI 1558971804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

911 MAIN ST S, Tifton, GA 31794

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Other Identifiers 1

Medicaid003189286AGA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ALEXIA MICHELLE TANNER LCSW

Social Worker (Clinical)

911 MAIN ST S
TIFTON, GA 31794

Tift County (229) 396-4689

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wholistic Therapeutic Services's NPI number?

The NPI number for Wholistic Therapeutic Services is 1558971804. It was assigned to this organization in the NPPES registry on August 2, 2020.

Where is Wholistic Therapeutic Services located?

Wholistic Therapeutic Services is located at 911 Main St S, Tifton, GA 31794. The listed phone number is (229) 396-4689.

What is Wholistic Therapeutic Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Wholistic Therapeutic Services was last updated on August 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.