Provider Demographics
NPI:1497395768
Name:HOLISTIC HEALTH AND HEALING INC
Entity Type:Organization
Organization Name:HOLISTIC HEALTH AND HEALING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:EDYTHE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BOITNOTT
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, FNP-C
Authorized Official - Phone:276-618-1236
Mailing Address - Street 1:3690 GREENSBORO ROAD
Mailing Address - Street 2:
Mailing Address - City:RIDGEWAY
Mailing Address - State:VA
Mailing Address - Zip Code:24148
Mailing Address - Country:US
Mailing Address - Phone:276-378-4388
Mailing Address - Fax:276-325-5608
Practice Address - Street 1:3690 GREENSBORO ROAD
Practice Address - Street 2:
Practice Address - City:RIDGEWAY
Practice Address - State:VA
Practice Address - Zip Code:24148
Practice Address - Country:US
Practice Address - Phone:276-378-4388
Practice Address - Fax:276-325-5608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-14
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0017137891OtherVA LICENCE