# HOLISTIC MATERNITY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Holistic Maternity
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578969200
- **Authorized official:** KATRINA K HOLLON LM, CPM (OWNER/CEO)
- **Authorized official phone:** (727) 565-8798

## Contact information

- **Practice address:** 10460 ROOSEVELT BLVD N, SUITE 179, ST PETERSBURG, FL 33716-3821
- **Practice address phone:** (727) 565-8798
- **Practice address fax:** (727) 497-7913
- **Mailing address:** 10460 ROOSEVELT BLVD N, SUITE 179, ST PETERSBURG, FL 33716-3821
- **Mailing address phone:** (727) 565-8798
- **Mailing address fax:** (727) 497-7913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 176B00000X | Midwife | MW268 | FL | Yes |

## Other

- **Enumeration date:** 11/06/2014
- **Last updated:** 11/06/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 006618000 | — | FL |