Provider Demographics
NPI:1851625370
Name:HOLISTIC APPROACH WELLNESS CENTER
Entity Type:Organization
Organization Name:HOLISTIC APPROACH WELLNESS CENTER
Other - Org Name:EDWARDS EDUCATIONAL RESOURCES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-558-3968
Mailing Address - Street 1:5744 AUSTELL POWDER SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:AUSTELL
Mailing Address - State:GA
Mailing Address - Zip Code:30106-3231
Mailing Address - Country:US
Mailing Address - Phone:678-558-3968
Mailing Address - Fax:678-623-0298
Practice Address - Street 1:5744 AUSTELL POWDER SPRINGS RD
Practice Address - Street 2:
Practice Address - City:AUSTELL
Practice Address - State:GA
Practice Address - Zip Code:30106-3231
Practice Address - Country:US
Practice Address - Phone:678-558-3968
Practice Address - Fax:678-623-0298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-30
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1710I1002X, 175F00000X, 175L00000X
GAN/A174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
No1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty CorpsmanGroup - Multi-Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty
No175L00000XOther Service ProvidersHomeopathGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000000OtherNONE