| Healing Holistic Hub Pllc | |
|
300 N Main St Ste 300 High Point NC 27260-5056 | |
| (715) 321-2882 | |
| Not Available |
| Full Name | Healing Holistic Hub Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 300 N Main St Ste 300, High Point, North Carolina |
| Authorized Official Name and Position | Ikenna Erem Obasi (CEO) |
| Authorized Official Contact | 7153212882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Holistic Hub Pllc 300 N Main St Ste 300 High Point NC 27260-5056 Ph: (715) 321-2882 | Healing Holistic Hub Pllc 300 N Main St Ste 300 High Point NC 27260-5056 Ph: (715) 321-2882 |
| NPI Number | 1225804990 |
|---|---|
| Provider Enumeration Date | 12/04/2023 |
| Last Update Date | 12/04/2023 |
| Certification Date | 12/03/2023 |
| Medicare PECOS PAC ID | 7315480225 |
|---|---|
| Medicare Enrollment ID | O20240620001291 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225804990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Ikeena E Obasi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750649455 PECOS PAC ID: 9739337668 Enrollment ID: I20161019002170 |
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