Provider Demographics
NPI:1629845771
Name:JOYFUL HOLISTIC SOLUTIONS, PLLC
Entity Type:Organization
Organization Name:JOYFUL HOLISTIC SOLUTIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:KELECHI
Authorized Official - Last Name:OBIHARA
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC, FNP-BC
Authorized Official - Phone:973-715-2258
Mailing Address - Street 1:14013 ZIPPO WAY
Mailing Address - Street 2:
Mailing Address - City:HASLET
Mailing Address - State:TX
Mailing Address - Zip Code:76052-3360
Mailing Address - Country:US
Mailing Address - Phone:973-715-2258
Mailing Address - Fax:
Practice Address - Street 1:14013 ZIPPO WAY
Practice Address - Street 2:
Practice Address - City:HASLET
Practice Address - State:TX
Practice Address - Zip Code:76052-3360
Practice Address - Country:US
Practice Address - Phone:973-715-2258
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-08
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service