| NPI | 1891369823 |
|---|---|
| Former Legal Business Name | HOLISTIC WELLNESS GROUP, LLC |
| Entity Type | Organization |
| Authorized Contact | MELISSA ASHLEY Prescriber/Member 205-430-9966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2021-12-31 |