Provider Demographics
NPI:1376008375
Name:THREE TREASURES HOLISTIC CARE, LLC
Entity Type:Organization
Organization Name:THREE TREASURES HOLISTIC CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTITIONER/MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAMITA
Authorized Official - Middle Name:AUTRECIA
Authorized Official - Last Name:HARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-727-1660
Mailing Address - Street 1:825 NE 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32601
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2727 B NW 43RD ST
Practice Address - Street 2:SUITE B
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601
Practice Address - Country:US
Practice Address - Phone:352-727-1660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-04
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty