Organization
HOLISTIC WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFF SCOTT HOLLOWELL PH.D. (PSYCHOLOGIST/OWNER)
(262) 641-9300
Entity
Organization
Contact information
Practice address
675 N BROOKFIELD RD, SUITE 101, BROOKFIELD, WI 53045-5858
(262) 641-9300
(262) 641-9307
Mailing address
675 N BROOKFIELD RD, SUITE 101, BROOKFIELD, WI 53045-5858
(262) 641-9300
(262) 641-9307
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
2524
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42235800
—
WI
Enumeration date
09/29/2006
Last updated
08/22/2020
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