Provider Demographics
NPI:1073899019
Name:HOLISTIC HEALTHCARE & CONSULTATION LLC
Entity Type:Organization
Organization Name:HOLISTIC HEALTHCARE & CONSULTATION LLC
Other - Org Name:DRS2HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:DORETTE
Authorized Official - Middle Name:F
Authorized Official - Last Name:LEWIS-SENIOR
Authorized Official - Suffix:
Authorized Official - Credentials:NDMSAC BS-RN
Authorized Official - Phone:203-374-5309
Mailing Address - Street 1:239 PLATTSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-3427
Mailing Address - Country:US
Mailing Address - Phone:203-374-5309
Mailing Address - Fax:203-374-6836
Practice Address - Street 1:239 PLATTSVILLE RD
Practice Address - Street 2:
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-3427
Practice Address - Country:US
Practice Address - Phone:203-374-5309
Practice Address - Fax:203-374-6836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-21
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WN1003XNursing Service ProvidersRegistered NurseNutrition SupportGroup - Single Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty
No163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff DevelopmentGroup - Single Specialty
No174400000XOther Service ProvidersSpecialistGroup - Single Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty