| Holistic Functional Wellness Center, Pllc | |
|
12910 Harbor Dr Woodbridge VA 22192-2930 | |
| (347) 835-2989 | |
| Not Available |
| Full Name | Holistic Functional Wellness Center, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 12910 Harbor Dr, Woodbridge, Virginia |
| Authorized Official Name and Position | Erwin Reyna (PRESIDENT) |
| Authorized Official Contact | 3478352989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Functional Wellness Center, Pllc 12910 Harbor Dr Woodbridge VA 22192-2930 Ph: (347) 835-2989 | Holistic Functional Wellness Center, Pllc 12910 Harbor Dr Woodbridge VA 22192-2930 Ph: (347) 835-2989 |
| NPI Number | 1649032970 |
|---|---|
| Provider Enumeration Date | 01/23/2024 |
| Last Update Date | 01/31/2025 |
| Certification Date | 01/31/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649032970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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