Holistic Wellness Center Llc

LBN: Holistic Wellness Center Llc
Holistic Wellness Center Llc is an health care organization with primary practice located at 675 N Brookfield Rd Suite 101, Brookfield WI 53045-5858. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Group Psychotherapy, which is considered as the primary health care specialty. Holistic Wellness Center Llc can be contacted via phone (262) 641-9300, or through Hollowell, Jeff Scott via phone (262) 641-9300.

Contact Information

Primary practice address
675 N Brookfield Rd Suite 101 Brookfield WI 53045-5858
Phone: (262) 641-9300
Fax: (262) 641-9307
Website:
Map and Directions
Authorized official contact:
Name: Hollowell, Jeff Scott PH.D.
Phone: (262) 641-9300

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X 2524 Wisconsin

Profile Details

NPI number 1285726661
LBN Legal business name Holistic Wellness Center Llc
DBA Doing business as
Authorized official Hollowell, Jeff Scott PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2006
Last updated Aug 22nd, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285726661 NPPES
Wisconsin MEDICAID 42235800

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