My Holistic Life, Llc
LBN: My Holistic Life, Llc
My Holistic Life, Llc is an health care organization with primary practice located at 10454 Juneau Way , Collierville TN 38017-1968. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty.
My Holistic Life, Llc can be contacted via phone (901) 568-0442, or through Welty, Ronda Mae via phone (901) 568-0442.
Contact Information
Primary practice address
10454 Juneau Way
Collierville TN 38017-1968
Phone: (901) 568-0442
Fax: (901) 284-0008
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Developmental Disabilities | 261QD1600X | ||
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X |
Profile Details
| NPI number | 1366051823 |
|---|---|
| LBN Legal business name | My Holistic Life, Llc |
| DBA Doing business as | |
| Authorized official | Welty, Ronda Mae COTA/L, CAPS |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 30th, 2020 |
| Last updated | Jul 30th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366051823 | NPPES |
| Tennessee | Other | 1286 | OTA LICENSE |
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