Provider Demographics
NPI:1477919264
Name:FAMILY WHOLISTIC WELLNESS
Entity Type:Organization
Organization Name:FAMILY WHOLISTIC WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NATUROPATH
Authorized Official - Prefix:DR
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:M
Authorized Official - Last Name:CAHILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-432-5567
Mailing Address - Street 1:3021 HIGHWAY A
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:63090-5498
Mailing Address - Country:US
Mailing Address - Phone:636-432-5567
Mailing Address - Fax:636-432-5567
Practice Address - Street 1:3021 HIGHWAY A
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:MO
Practice Address - Zip Code:63090-5498
Practice Address - Country:US
Practice Address - Phone:636-432-5567
Practice Address - Fax:636-432-5567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-08
Last Update Date:2016-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2006008065175F00000X
MO2006008065225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
No175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty