Provider Demographics
NPI:1619666807
Name:HOLISTICA VIP LLC
Entity Type:Organization
Organization Name:HOLISTICA VIP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:SALINGER
Authorized Official - Suffix:
Authorized Official - Credentials:FNP, PMHNP, APRN
Authorized Official - Phone:888-310-1808
Mailing Address - Street 1:2201 SPINKS RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75022
Mailing Address - Country:US
Mailing Address - Phone:888-310-1808
Mailing Address - Fax:
Practice Address - Street 1:2201 SPINKS RD
Practice Address - Street 2:SUITE 110
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75022
Practice Address - Country:US
Practice Address - Phone:888-310-1808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-03
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202D00000XAllopathic & Osteopathic PhysiciansIntegrative MedicineGroup - Multi-Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Multi-Specialty