| Holistic Wellness Co | |
|
663 N Dixie Blvd Ste A Radcliff KY 40160-1376 | |
| (270) 748-8803 | |
| Not Available |
| Full Name | Holistic Wellness Co |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 663 N Dixie Blvd Ste A, Radcliff, Kentucky |
| Authorized Official Name and Position | Ashley M Harris (OWNER) |
| Authorized Official Contact | 2707488803 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Wellness Co 663 N Dixie Blvd Ste A Radcliff KY 40160-1376 Ph: (270) 748-8803 | Holistic Wellness Co 663 N Dixie Blvd Ste A Radcliff KY 40160-1376 Ph: (270) 748-8803 |
| NPI Number | 1598495046 |
|---|---|
| Provider Enumeration Date | 06/15/2022 |
| Last Update Date | 06/15/2022 |
| Certification Date | 06/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598495046 | NPI | - | NPPES |
| 7100794350 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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