| Holistic Wellness Center Llc | |
|
675 N Brookfield Rd Suite 101 Brookfield WI 53045-5858 | |
| (262) 641-9300 | |
| (262) 641-9307 |
| Full Name | Holistic Wellness Center Llc |
|---|---|
| Speciality | Psychologist - Group Psychotherapy |
| Location | 675 N Brookfield Rd, Brookfield, Wisconsin |
| Authorized Official Name and Position | Jeff Scott Hollowell (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 2626419300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Wellness Center Llc 675 N Brookfield Rd Suite 101 Brookfield WI 53045-5858 Ph: (262) 641-9300 | Holistic Wellness Center Llc 675 N Brookfield Rd Suite 101 Brookfield WI 53045-5858 Ph: (262) 641-9300 |
| NPI Number | 1285726661 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285726661 | NPI | - | NPPES |
| 42235800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | 2524 (Wisconsin) | Primary |
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