# HOLISTIC HEALTH & WELLNESS SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609010859
- **Authorized official:** DR. TOMASITA A LAHUE D.C. (HEALTH DIRECTOR)
- **Authorized official phone:** (618) 624-9384

## Contact information

- **Practice address:** 4965 STONE FALLS CTR, SUITE \# 7, O FALLON, IL 62269-7802
- **Practice address phone:** (618) 624-9384
- **Practice address fax:** (618) 624-9386
- **Mailing address:** 4965 STONE FALLS CTR, SUITE \# 7, O FALLON, IL 62269-7802
- **Mailing address phone:** (618) 624-9384
- **Mailing address fax:** (618) 624-9386

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 042619407 | IL | Yes |

## Other

- **Enumeration date:** 04/30/2009
- **Last updated:** 04/30/2009