Provider Demographics
NPI:1497577373
Name:MULTIDIMENSIONAL HEALING COLLECTIVE LLC
Entity type:Organization
Organization Name:MULTIDIMENSIONAL HEALING COLLECTIVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:KAMAU
Authorized Official - Middle Name:BANDELE
Authorized Official - Last Name:KOKAYI
Authorized Official - Suffix:
Authorized Official - Credentials:PRACTICE FACILITATOR
Authorized Official - Phone:917-751-6498
Mailing Address - Street 1:11021 N COMMONS DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28213-3171
Mailing Address - Country:US
Mailing Address - Phone:917-751-6498
Mailing Address - Fax:347-342-3962
Practice Address - Street 1:11021 N COMMONS DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28213-3171
Practice Address - Country:US
Practice Address - Phone:917-751-6498
Practice Address - Fax:347-342-3962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty