Provider Demographics
NPI:1780118828
Name:HOLISTIC BLESSINGS, INC.
Entity type:Organization
Organization Name:HOLISTIC BLESSINGS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TEKOAH
Authorized Official - Middle Name:
Authorized Official - Last Name:WELLMAKER-WATTS
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:469-222-6740
Mailing Address - Street 1:1325 ILLINOIS AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:TX
Mailing Address - Zip Code:75134-1691
Mailing Address - Country:US
Mailing Address - Phone:469-222-6740
Mailing Address - Fax:972-224-0543
Practice Address - Street 1:1325 ILLINOIS AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75134-1691
Practice Address - Country:US
Practice Address - Phone:469-222-6740
Practice Address - Fax:972-224-0543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-15
Last Update Date:2017-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No251S00000XAgenciesCommunity/Behavioral Health