HOLISTIC HEALTH AND WELLNESS, LLC (NPI# 1396355129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396355129 |
| Entity Type | Organization |
| Organization Name | HOLISTIC HEALTH AND WELLNESS, LLC |
| Practice Address |
1709 Holaview Rd Dundalk MD 21222-2029 |
| Mailing Address |
3512 Milford Mill Rd Windsor Mill MD 21244-2931 |
| Practice Telephone | 4432318461 |
| Practice Fax Number | 4434072942 |
| Mailing Telephone | 4432318461 |
| Mailing Fax Number | 4434072942 |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |
| Authorized Official Name | MICHELLE BLACKSTON (OWNER/DIRECTOR) |
| Authorized Official Telephone | 4432318461 |
| Authorized Official Credential | CRNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Holistic Health Services, LLC | Former Legal Business Name - Organization |
| Street Address |
1709 HOLAVIEW RD |
| City | DUNDALK |
| State | MD |
| Zip Code | 21222-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639691447 | Tenicia S Washington | Nurse Practitioner | 1709 Holaview Rd, Dundalk, MD 21222 | 2017-07-13 |
| 1245898444 | Conversion Health System, LLC | Clinic/Center | 1709 Holaview Rd, Dundalk, MD 21222 | 2019-06-03 |
| 1871151043 | Conversion Health System, LLC | Day Training, Developmentally Disabled Services | 1709 Holaview Rd, Dundalk, MD 21222 | 2019-06-03 |
| 1265997688 | Conversion Health System, LLC | Community/Behavioral Health | 1709 Holaview Rd, Dundalk, MD 21222 | 2019-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634534 | Progressive Multi Medical Services Inc | Nurse Practitioner | 7704 Trappe Road, Dundalk, MD 21222 | 2020-03-14 |
| 1881240802 | Waleed Mazhar Khan | Pharmacist | 29-31 Sipping Pl, Baltimore, MD 21222 | 2019-08-15 |
| 1043773724 | Agnes Kavari | Occupational Therapy Assistant | 7232 German Hill Road, Heritage Center, Baltimore, MD 21222 | 2019-04-10 |
| 1609335702 | Addiction Treatment of Maryland | Substance Abuse Rehabilitation Facility | 19 Center Place, 1st Floor, Baltimore, MD 21222 | 2019-03-18 |
| 1558833368 | Millennium Residential Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1709 Holaview Road, Dundalk, MD 21222 | 2018-12-19 |
| 1548708126 | Kevin Anthony Mason | Counselor | 7827 Wise Avenue, Dundalk Counseling Center, Baltimore, MD 21222 | 2017-02-03 |
| 1023569266 | Rachel Renee Barbarino | Physician Assistant | 1934 Ewald Ave, Baltimore, MD 21222 | 2016-10-24 |
| 1023562576 | Bd Health Services, Inc | Counselor | 3955 North Point Rd., Dundalk, MD 21222 | 2016-08-12 |
| 1205287596 | Dundalk Health Services, Inc. | Counselor | 6706 Holabird Ave, Baltimore, MD 21222 | 2016-06-28 |
| 1881092971 | Jaimie Lynn Johnston | Registered Nurse | 7819 Meath Rd, Baltimore, MD 21222 | 2014-12-05 |
| Find all providers in zip 21222 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543091 | Transcend Counseling Group | Clinic/Center | 7800 Wise Ave, Dundalk, MD 21222-3338 | 2019-11-22 |
| 1821513599 | Hopewell Mental Health Services | Clinic/Center | 7448 German Hill Rd, Dundalk, MD 21222-1330 | 2017-08-03 |
| 1972025625 | Associated Catholic Charities | Clinic/Center | 2901 Dunleer Rd, Dundalk, MD 21222-5113 | 2017-07-14 |
| 1689022790 | Hope Again Counseling Services, LLC | Clinic/Center | 1420 Merritt Blvd Ste B, Dundalk, MD 21222-2192 | 2016-05-31 |
| 1043579923 | Associated Catholic Charities | Clinic/Center | 2 N Dundalk Ave, Dundalk, MD 21222-4221 | 2012-05-11 |
| 1336759075 | Matclinic Physicians Practice Group LLC | Clinic/Center | 40 S Dundalk Ave Ste 400, Dundalk, MD 21222-4273 | 2020-08-07 |
| 1700403789 | Providing Hope Psychiatric Rehabilitation Program | Clinic/Center | 1420 Merritt Blvd Ste B, Dundalk, MD 21222-2192 | 2020-06-25 |
| 1962040626 | Mindful Healing Works Wellness Center LLC | Clinic/Center | 7811 Wise Ave, Dundalk, MD 21222-3339 | 2019-12-12 |
| 1801383559 | Associated Catholic Charities, Inc. | Clinic/Center | 2 N Dundalk Ave, Dundalk, MD 21222-4221 | 2018-04-18 |
| 1316206675 | Associated Catholic Charities | Clinic/Center | 2901 Dunleer Rd, St. Rita Parish Center, Dundalk, MD 21222-5113 | 2012-05-08 |
| Find all providers in DUNDALK | ||||
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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.