Organization
3CW TN PLLC
Active
Other names
Third Coast Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
LORI HOLMAN (MEMBER/OWNER)
(615) 622-2442
Entity
Organization
Contact information
Practice address
103 SUNSET DR STE B, MOUNT JULIET, TN 37122-2968
(615) 622-2442
Mailing address
103 SUNSET DR STE B, MOUNT JULIET, TN 37122-2968
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
Primary
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
10/28/2025
Last updated
01/20/2026
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