Holistic Athlete Llc

LBN: Holistic Athlete Llc
Holistic Athlete Llc is an health care organization with primary practice located at 24B Rosemary Ln , Middlefield CT 06455-1041. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Exercise & Sports. Behavioral Health & Social Service Providers / Exercise & Sports is the primary health care specialty. Holistic Athlete Llc can be contacted via phone (860) 877-6093, or through Etter, Zachary via phone (860) 877-6093.

Contact Information

Primary practice address
24B Rosemary Ln Middlefield CT 06455-1041
Phone: (860) 877-6093
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Etter, Zachary LPC CMPC
Phone: (860) 877-6093

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Behavioral Health & Social Service Providers / Exercise & Sports 103TE1100X

Profile Details

NPI number 1932834926
LBN Legal business name Holistic Athlete Llc
DBA Doing business as
Authorized official Etter, Zachary LPC CMPC
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2022
Last updated Jul 22nd, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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