| Holistic Functional Wellness Center, Pllc | |
|
4501 Squiredale Sq Alexandria VA 22309-1233 | |
| (347) 835-2989 | |
| Not Available |
| Full Name | Holistic Functional Wellness Center, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4501 Squiredale Sq, Alexandria, Virginia |
| Authorized Official Name and Position | Erwin Reyna (FOUNDER) |
| 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 4501 Squiredale Sq Alexandria VA 22309-1233 Ph: (347) 835-2989 | Holistic Functional Wellness Center, Pllc 4501 Squiredale Sq Alexandria VA 22309-1233 Ph: (347) 835-2989 |
| NPI Number | 1710749015 |
|---|---|
| Provider Enumeration Date | 01/23/2024 |
| Last Update Date | 01/23/2024 |
| Certification Date | 11/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710749015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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