Provider Demographics
NPI:1275114449
Name:AKASHA HOLISTIC HEALING AND CONSULTING
Entity Type:Organization
Organization Name:AKASHA HOLISTIC HEALING AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:J
Authorized Official - Last Name:NIXON
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, LCMHC
Authorized Official - Phone:435-669-5399
Mailing Address - Street 1:7995 S 2940 W
Mailing Address - Street 2:
Mailing Address - City:WEST JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84088-4649
Mailing Address - Country:US
Mailing Address - Phone:801-477-4310
Mailing Address - Fax:
Practice Address - Street 1:7995 S 2940 W
Practice Address - Street 2:
Practice Address - City:WEST JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84088-4649
Practice Address - Country:US
Practice Address - Phone:801-477-4310
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-19
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty