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Organization
HOLISTIC WELLNESS GROUP, LLC
Active
Organization
HOLISTIC WELLNESS GROUP, LLC
Active
Other names
Holistic Wellness Group, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ASHLEY CRNP (PRESCRIBER/MEMBER)
(205) 430-9966
Entity
Organization
Contact information
Practice address
808 LAY DAM RD, CLANTON, AL 35045-2943
(205) 369-1273
(205) 369-1273
Mailing address
125 COBB DR, JEMISON, AL 35085-4197
(205) 430-9966
(915) 223-1562
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270189
—
AL
Enumeration date
05/14/2021
Last updated
12/31/2021
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