Organization
HOLISTIC WELLNESS CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY M HARRIS LCSW (OWNER)
(270) 748-8803
Entity
Organization
Contact information
Practice address
663 N DIXIE BLVD STE A, RADCLIFF, KY 40160-1376
(270) 748-8803
Mailing address
663 N DIXIE BLVD STE A, RADCLIFF, KY 40160-1376
(270) 748-8803
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100794350
—
KY
Enumeration date
06/15/2022
Last updated
06/15/2022
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