Provider Demographics
NPI:1568068039
Name:AMY'S HOLISTIC HEALTH LLC
Entity Type:Organization
Organization Name:AMY'S HOLISTIC HEALTH LLC
Other - Org Name:BALANCED STONE ACUPUNCTURE AND WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:MALONE
Authorized Official - Suffix:
Authorized Official - Credentials:RN, LAC
Authorized Official - Phone:720-593-0423
Mailing Address - Street 1:3845 TENNYSON ST # 166
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80212-2107
Mailing Address - Country:US
Mailing Address - Phone:207-593-0423
Mailing Address - Fax:
Practice Address - Street 1:405 URBAN ST STE 360
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1205
Practice Address - Country:US
Practice Address - Phone:720-593-0423
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-09
Last Update Date:2021-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center