Provider Demographics
NPI:1083302467
Name:HOLISTIC LIVING BY ANIA
Entity Type:Organization
Organization Name:HOLISTIC LIVING BY ANIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANIA
Authorized Official - Middle Name:
Authorized Official - Last Name:E JARMULOWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:727-358-6426
Mailing Address - Street 1:8704 PERSEA CT
Mailing Address - Street 2:
Mailing Address - City:TRINITY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-5332
Mailing Address - Country:US
Mailing Address - Phone:727-358-6426
Mailing Address - Fax:727-255-6083
Practice Address - Street 1:8704 PERSEA CT
Practice Address - Street 2:
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655-5332
Practice Address - Country:US
Practice Address - Phone:727-358-6426
Practice Address - Fax:727-255-6083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-25
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty