Provider Demographics
NPI:1790598225
Name:HOLISTIC WHOLENESS INSTITUTE
Entity type:Organization
Organization Name:HOLISTIC WHOLENESS INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:BELIVEAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-813-1133
Mailing Address - Street 1:PO BOX 240
Mailing Address - Street 2:
Mailing Address - City:COLTS NECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07722-0240
Mailing Address - Country:US
Mailing Address - Phone:732-813-1133
Mailing Address - Fax:
Practice Address - Street 1:433 PLAZA REAL
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-3932
Practice Address - Country:US
Practice Address - Phone:732-813-1133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service