| Holistic Living Llc. | |
|
14307 Ramona Ln Fort Wayne IN 46845-9646 | |
| (260) 255-6897 | |
| Not Available |
| Full Name | Holistic Living Llc. |
|---|---|
| Speciality | Social Worker |
| Location | 14307 Ramona Ln, Fort Wayne, Indiana |
| Authorized Official Name and Position | Melissa Hall (LEAD THERAPIST) |
| Authorized Official Contact | 2602556897 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Living Llc. 14307 Ramona Ln Fort Wayne IN 46845-9646 Ph: (260) 255-6897 | Holistic Living Llc. 14307 Ramona Ln Fort Wayne IN 46845-9646 Ph: (260) 255-6897 |
| NPI Number | 1144082231 |
|---|---|
| Provider Enumeration Date | 01/25/2024 |
| Last Update Date | 01/25/2024 |
| Certification Date | 01/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144082231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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