Provider Demographics
NPI:1851022172
Name:HOLIQ HEALTH, PLLC
Entity Type:Organization
Organization Name:HOLIQ HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLENE
Authorized Official - Middle Name:S
Authorized Official - Last Name:STAFF
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:248-971-9178
Mailing Address - Street 1:1030 N ROGERS LN STE 121 #5142
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610
Mailing Address - Country:US
Mailing Address - Phone:919-205-8585
Mailing Address - Fax:
Practice Address - Street 1:1030 N ROGERS LANE SUITE 121
Practice Address - Street 2:#5142
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610
Practice Address - Country:US
Practice Address - Phone:919-205-8585
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-17
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty