Provider Demographics
NPI:1356084248
Name:WHOLISTIC CARE CONCIERGE
Entity type:Organization
Organization Name:WHOLISTIC CARE CONCIERGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ADRIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:WARE
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN
Authorized Official - Phone:844-601-1196
Mailing Address - Street 1:2163 S VETERANS BLVD APT 6300
Mailing Address - Street 2:
Mailing Address - City:GONZALES
Mailing Address - State:LA
Mailing Address - Zip Code:70737-5792
Mailing Address - Country:US
Mailing Address - Phone:844-601-1196
Mailing Address - Fax:
Practice Address - Street 1:2163 S VETERANS BLVD APT 6300
Practice Address - Street 2:
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737-5792
Practice Address - Country:US
Practice Address - Phone:844-601-1196
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-18
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare