Provider Demographics
NPI:1790398618
Name:HOLISTIC HEALTH- COUNSELING & COACHING LLC
Entity Type:Organization
Organization Name:HOLISTIC HEALTH- COUNSELING & COACHING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:MR
Authorized Official - First Name:MELVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:JEWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-804-5800
Mailing Address - Street 1:2453 MARYLAND AVE FL 1
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-5018
Mailing Address - Country:US
Mailing Address - Phone:410-804-5800
Mailing Address - Fax:
Practice Address - Street 1:2453 MARYLAND AVE FL 1
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-5018
Practice Address - Country:US
Practice Address - Phone:410-804-5800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-29
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitationGroup - Multi-Specialty