Provider Demographics
NPI:1851098024
Name:HOLISTIC WELLNESS CENTER
Entity Type:Organization
Organization Name:HOLISTIC WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHARITY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHULTZ
Authorized Official - Suffix:
Authorized Official - Credentials:HHC
Authorized Official - Phone:423-405-0990
Mailing Address - Street 1:2412 W ANDREW JOHNSON HWY STE H
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37814-3276
Mailing Address - Country:US
Mailing Address - Phone:423-405-0990
Mailing Address - Fax:423-658-3077
Practice Address - Street 1:2412 W ANDREW JOHNSON HWY STE H
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37814-3276
Practice Address - Country:US
Practice Address - Phone:423-405-0990
Practice Address - Fax:423-658-3077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-08
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Multi-Specialty