Organization
HOLISTIC MENTAL HEALTH WELLNESS INC
Active
Parent organization
HOLISTIC MENTAL HEALTH WELLNESS INC
Other names
Holistic Mental Health Wellness Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOLISTIC MENTAL HEALTH WELLNESS INC
Authorized official
TANGEE XIMENA MOSCOSO APN (PRESIDENT)
(224) 366-7537
Entity
Organization
Contact information
Practice address
10 MONARCH DR UNIT B, STREAMWOOD, IL 60107-4521
(224) 366-7537
Mailing address
10 MONARCH DR UNIT B, STREAMWOOD, IL 60107-4521
(224) 366-7537
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
332702628
—
IL
Enumeration date
10/24/2018
Last updated
10/24/2018
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