HOLISTIC WELLNESS SOLUTIONS LLC (NPI# 1588261929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588261929 |
| Entity Type | Organization |
| Organization Name | HOLISTIC WELLNESS SOLUTIONS LLC |
| Practice Address |
3099 Sullivant Ave Ste H Columbus OH 43204-1800 |
| Practice Telephone | 6143712303 |
| Practice Fax Number | 8009059950 |
| Mailing Telephone | 6143712303 |
| Mailing Fax Number | 8009059950 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |
| Authorized Official Name | ALICJA MATUSIAK (OWNER/PROVIDER) |
| Authorized Official Telephone | 6143712303 |
| Authorized Official Credential | PMHNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0387861 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4889 Sinclair Rd Ste 215, Columbus, OH 432295434 | 6143712303 | 8009059950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063932119 | Holistic Wellness Solutions LLC | Clinic/Center | 3099 Sullivant Ave Ste H, Columbus, OH 43204 | 2017-06-20 |
| Street Address |
3099 SULLIVANT AVE STE H |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43204-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174757678 | Alicja Matusiak | Social Worker | 3099 Sullivant Ave Ste H, Columbus, OH 43204-1895 | 2009-05-12 |
| 1952923310 | Kimberly Rankin | Registered Nurse | 3099 Sullivant Ave Ste H, Columbus, OH 43204-1800 | 2020-05-08 |
| 1821624107 | Brandy N Dodge | Technician | 3099 Sullivant Ave Ste H, Columbus, OH 43204-1800 | 2020-03-18 |
| 1154830883 | Rachel Colson | Registered Nurse | 3099 Sullivant Ave Ste H, Columbus, OH 43204-1800 | 2017-09-26 |
| 1063932119 | Holistic Wellness Solutions LLC | Clinic/Center | 3099 Sullivant Ave Ste H, Columbus, OH 43204 | 2017-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215593587 | Raymond Jay Ellis | Technician | 2455 Sullivant Ave, Columbus, OH 43204 | 2019-05-13 |
| 1245791581 | Dedicated Columbus Ohio, LLC | Non-Pharmacy Dispensing Site | 50 North Wilson Road, Columbus, OH 43204 | 2019-03-28 |
| 1770076192 | Morgan Elizabeth Garczyk | Optometrist | 2300 W Broad St Fl 2, Columbus, OH 43204 | 2018-06-11 |
| 1093240731 | Jerusha R Mcclendon | Social Worker | 3188 Mary Ave, Columbus, OH 43204 | 2017-05-01 |
| 1790235588 | American Senior Care Center LLC | Home Health | 3105 W Broad Street, Suite 2, Columbus, OH 43204 | 2016-10-05 |
| 1184082083 | Jordan Fontes | Nurse Practitioner | 2800 West Broad St, Columbus, OH 43204 | 2016-02-05 |
| 1073971248 | John R Sadaghiani | Dentist | 45 N. Wilson Rd, Columbus, OH 43204 | 2016-02-03 |
| 1245615806 | Brittany Muse | Occupational Therapist | 3615 Graybeck Drive, Columbus, OH 43204 | 2015-07-24 |
| 1528453842 | Sadaf Khan | Internal Medicine | 50 N Wilson Road, Columbus, OH 43204 | 2015-04-02 |
| 1053722629 | Kristen Basch | Pharmacist | 4248 Ongaro Dr, Columbus, OH 43204 | 2014-05-16 |
| Find all providers in zip 43204 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| Find all providers in COLUMBUS | ||||
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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.