NPI:
1891369823
Provider Name:
HOLISTIC WELLNESS GROUP, LLC
Former Legal Business Name: HOLISTIC WELLNESS GROUP, LLC
Classification:
Nurse Practitioner - 363LP0808X
Entity Type:
Organization
Specialization: Psychiatric/Mental Health
Address:
808 LAY DAM RD
CLANTON, AL
ZIP 35045
Phone:
(205) 369-1273
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HOLISTIC WELLNESS GROUP, LLC is a psychiatric/mental health nurse practitioner in Clanton, AL. HOLISTIC WELLNESS GROUP, LLC NPI is 1891369823. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Holistic Wellness Group, Llc.
The provider's business location address is:
808 LAY DAM RD
CLANTON, AL
ZIP 35045-943
Phone: (205) 369-1273
Fax: (205) 369-1273
The provider's authorized official is Melissa Ashley .
The authorized official title is Prescriber/member and has the following contact phone number (205) 430-9966.
The enumeration date for this NPI number is 5/14/2021 and was last updated on 12/31/2021.