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Organization
COMMUNITY HOLISTIC PRACTICE LLC
Active
Organization
COMMUNITY HOLISTIC PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAUSTINA DINDIOK (CEO)
(614) 218-2105
Entity
Organization
Contact information
Practice address
6515 E LIVINGSTON AVE STE B6A, REYNOLDSBURG, OH 43068-3562
(614) 218-2105
Mailing address
6515 E LIVINGSTON AVE STE B6A, REYNOLDSBURG, OH 43068-3562
(614) 218-2105
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
01/26/2024
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