HOLISTIC WELLNESS SOLUTIONS LLC NPI 1063932119

NPI Information

NPI: 1063932119
Provider Name: HOLISTIC WELLNESS SOLUTIONS LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

CLIA Number: 36D2183642

Address:
4770 INDIANOLA AVE STE 107
COLUMBUS, OH
ZIP 43214
Phone: (614) 371-2303
Get Directions

HOLISTIC WELLNESS SOLUTIONS LLC is a psychiatric/mental health nurse practitioner in Columbus, OH. HOLISTIC WELLNESS SOLUTIONS LLC NPI is 1063932119. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4770 INDIANOLA AVE STE 107
COLUMBUS, OH
ZIP 43214-862
Phone: (614) 371-2303
Fax: (800) 905-9950

The provider's authorized official is Alicja Matusiak .
The authorized official title is Owner/provider and has the following contact phone number (614) 371-2303.

The CLIA number assigned to this NPI record is 36D2183642 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/20/2017 and was last updated on 1/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	1041C0700X	Social Worker	Clinical	No
2	251S00000X	Community/Behavioral Health		No
3	261QM0850X	Clinic/Center	Adult Mental Health	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0387861	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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