Organization
MANIFEST HOLISTIC CENTRE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEIRA SEALIE (OFFICE ADMINISTRATOR)
(360) 209-3440
Entity
Organization
Contact information
Practice address
17800 CHILLICOTHE RD STE 240, CHAGRIN FALLS, OH 44023-4886
(440) 384-3196
Mailing address
17800 CHILLICOTHE RD STE 240, CHAGRIN FALLS, OH 44023-4886
(440) 384-3196
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171400000X
Health & Wellness Coach
Primary
—
—
246RP1900X
Phlebotomy Technician
—
—
374J00000X
Doula
—
—
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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