EVOLUTIONARY HOLISTIC HEALING (NPI# 1255948840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255948840 |
| Entity Type | Organization |
| Organization Name | EVOLUTIONARY HOLISTIC HEALING |
| Practice Address |
155 Broadway Kingston NY 12401-6057 |
| Practice Telephone | 3473872651 |
| Mailing Telephone | 3473872651 |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |
| Authorized Official Name | TIFFANY SCHREPF (OWNER) |
| Authorized Official Telephone | 3473872651 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | EVOLUTIONARY HOLISTIC HEALING, LLC | 155 Broadway, Kingston, New York 12401 |
| Street Address |
155 BROADWAY |
| City | KINGSTON |
| State | NY |
| Zip Code | 12401-6057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215565783 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue--breast Depart., Kingston, NY 12401 | 2020-03-31 |
| 1306474879 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue --surg. Onc. Dept, Kingston, NY 12401 | 2020-03-31 |
| 1811523384 | Health Quest Medcial Practice, PC | Podiatrist | The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 | 2020-03-17 |
| 1013552181 | Health Quest Medical Practice, PC | Emergency Medicine | 1240 Ulster Avenue, Kingston, NY 12401 | 2019-11-13 |
| 1073156808 | Vala Conklin | Hearing Instrument Specialist | Beltone, 10 Westbrook Lane, Kingston, NY 12401 | 2019-10-24 |
| 1306304860 | Laura Juliane Isele | Dietitian, Registered | 521 Boices Lane Taconic Ddso, Kingston, NY 12401 | 2019-03-04 |
| 1104345107 | Shiv Ramlochan | Licensed Practical Nurse | 1 Family Drive, Kingston, NY 12401 | 2017-09-12 |
| 1346776333 | Sara Bockelmann | Licensed Practical Nurse | 616 Kiersted Ave, Kingston, NY 12401 | 2017-05-11 |
| 1093265472 | Janelle Haylett | Pathology | 121 Rondout Drive, Q, Kingston, NY 12401 | 2016-10-10 |
| 1669830873 | Julie Brady | Counselor | 154 Fair Street #2, Kingston, NY 12401 | 2016-02-02 |
| Find all providers in zip 12401 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457976441 | Donati Counseling, Inc. | Counselor | 40 Nobadeer Cir, Kingston, MA 02364-3306 | 2020-06-15 |
| 1851924518 | Lisa A Mannino | Counselor | 21 Green St Apt 2, Kingston, NY 12401-4503 | 2020-02-20 |
| 1588131007 | Katelyn Gill | Counselor | 357 W Oreilly St Apt 1308, Kingston, NY 12401-5731 | 2018-11-02 |
| 1902395189 | Nancy E Lecuyer | Counselor | 28 Harvest Dr, Kingston, MA 02364-1823 | 2018-05-03 |
| 1194212670 | Shaun Cohen | Counselor | 79 Saint James St Fl 2, Kingston, NY 12401-4513 | 2018-04-19 |
| 1912420134 | Stephanie Kristal | Counselor | 275 Fair St Ste 30, Kingston, NY 12401-3882 | 2017-07-19 |
| 1447798442 | Michael Thacker | Counselor | 15 Meeks Rd, Kingston, NH 03848-3517 | 2017-02-09 |
| 1487000410 | Alexander Drakontaidis | Counselor | 30 Wilson Ave, Kingston, NY 12401-2110 | 2016-05-09 |
| 1669830873 | Julie Brady | Counselor | 154 Fair Street #2, Kingston, NY 12401 | 2016-02-02 |
| 1841656600 | Michele Abdul-qawiy | Counselor | 486 Youngs Mill Rd, Kingston, GA 30145-1864 | 2016-01-11 |
| Find all providers in KINGSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.