Organization
HOLISTIC WELLNESS GROUP, LLC
Active
Other names
Holistic Wellness Group, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ASHLEY CRNP (PRESCRIBER/MEMBER)
(205) 430-9966
Entity
Organization
Contact information
Practice address
808 LAY DAM RD, CLANTON, AL 35045-2943
(205) 369-1273
(205) 369-1273
Mailing address
125 COBB DR, JEMISON, AL 35085-4197
(205) 430-9966
(915) 223-1562
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270189
—
AL
Enumeration date
05/14/2021
Last updated
12/31/2021
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