Provider Demographics
NPI:1124227848
Name:SYNERGY HOLISTIC HEALTH CENTER LLC
Entity Type:Organization
Organization Name:SYNERGY HOLISTIC HEALTH CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TAGHER
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, LMT
Authorized Official - Phone:859-525-5000
Mailing Address - Street 1:7413 US 42
Mailing Address - Street 2:SUITE 3
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-1999
Mailing Address - Country:US
Mailing Address - Phone:859-525-5000
Mailing Address - Fax:859-525-1530
Practice Address - Street 1:7413 US 42
Practice Address - Street 2:SUITE 3
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-1999
Practice Address - Country:US
Practice Address - Phone:859-525-5000
Practice Address - Fax:859-525-1530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-12
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY AC 018171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty