# HOLISTIC WELLNESS PRACTICE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kellen
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932664968
- **Authorized official:** GLEYCE ALMEIDA-FARRELL (CEO)
- **Authorized official phone:** (732) 673-4324

## Contact information

- **Practice address:** 400 PROSPECT PL, ALPHARETTA, GA 30005-5468
- **Practice address phone:** (470) 231-5355
- **Mailing address:** 223 ROSWELL ST STE 201, ALPHARETTA, GA 30009-2019
- **Mailing address phone:** (470) 231-5355

## Taxonomy

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

## Other

- **Enumeration date:** 02/04/2019
- **Last updated:** 01/24/2025
