Organization
HOLON HEALTH GREAT LAKES, P.C.
Active
Other names
Holon Health
Organization subpart
No
Provider details
NPI number
Authorized official
JASON HERZOG (CEO)
(877) 754-4694
Entity
Organization
Contact information
Practice address
2364 KINGMAN AVE, KINGMAN, AZ 86401-4840
(877) 754-4694
(804) 294-2775
Mailing address
3540 PUMP RD # 1188, RICHMOND, VA 23233-1115
(877) 754-4694
(804) 294-2775
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/23/2025
Last updated
02/17/2026
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