Holistic Vida Therapy

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

HOLISTIC VIDA THERAPY

Practice address

3610 Laureate Dr
Holt, MI 48842-9422

Phone

(517) 455-7555

NPI assigned

Jun 8, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Illami Romero Martinez, LMFT

Title

Owner

Phone

(517) 944-1262

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Illami Romero Martinez

  • Marriage & Family Therapist
  • Berwyn, IL
  • NPI 1083081517
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1043835895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 PERE MARQUETTE DR STE 2D",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 LAUREATE DR",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488429422",
            "telephone_number": "517-455-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC VIDA THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-08",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ILLAMI",
        "authorized_official_middle_name": "ROMERO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-944-1262",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Hemwall
• Alison Hennessy
• Rachel M Herman, D.C.
• Daniel Hicks
• Natalie Hoffman, PT, DPT
• Holt Chiropractic Center, P.C
• Holt Drugs
• Holt Eye Care, PLLC
• Holt Family Chiropractic PLLC
• Holt Family Practice PC

• Marriage & Family Therapist in Holt, MI
• Providers in Holt, MI by specialty
• Marriage & Family Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.