Provider Demographics
NPI:1679892327
Name:HOLISTIC HEALING AVENUES, LLC
Entity Type:Organization
Organization Name:HOLISTIC HEALING AVENUES, LLC
Other - Org Name:HHA
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:RACHELLE
Authorized Official - Last Name:TOYER
Authorized Official - Suffix:
Authorized Official - Credentials:PCC-S
Authorized Official - Phone:513-884-8681
Mailing Address - Street 1:PO BOX 6732
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45206-0732
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1821 SUMMIT RD STE 113
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45237-2818
Practice Address - Country:US
Practice Address - Phone:513-693-0432
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health