Provider Demographics
NPI:1639438856
Name:INTEGRATED HOLISTIC SOLUTIONS, PLLC
Entity Type:Organization
Organization Name:INTEGRATED HOLISTIC SOLUTIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRELONDA
Authorized Official - Middle Name:R
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:DBH LCMHCS
Authorized Official - Phone:704-896-6044
Mailing Address - Street 1:PO BOX 1546
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28070-1546
Mailing Address - Country:US
Mailing Address - Phone:704-896-6044
Mailing Address - Fax:704-875-9438
Practice Address - Street 1:400 GILEAD ROAD
Practice Address - Street 2:UNIT 1546
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28070-1546
Practice Address - Country:US
Practice Address - Phone:704-896-6044
Practice Address - Fax:704-875-9438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-08
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty