Provider Demographics
NPI:1336457795
Name:HOLISTIC ALTERNATIVES
Entity Type:Organization
Organization Name:HOLISTIC ALTERNATIVES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:M
Authorized Official - Last Name:DEL REGATO
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:305-389-8044
Mailing Address - Street 1:PO BOX 358
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-0358
Mailing Address - Country:US
Mailing Address - Phone:305-389-8044
Mailing Address - Fax:888-267-9159
Practice Address - Street 1:19 WILCOX ST
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-1904
Practice Address - Country:US
Practice Address - Phone:305-389-8044
Practice Address - Fax:888-267-9159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-20
Last Update Date:2014-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACU-1610171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty