Yin Fire Holistic Health LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

YIN FIRE HOLISTIC HEALTH LLC

Practice address

103 N Hamilton St
Georgetown, KY 40324

Phone

(513) 356-0958

NPI assigned

Jul 9, 2024

Last updated

Jul 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leslie Phu, ND, LACNPI 1831964477

Title

Employer

Phone

(513) 356-0958

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leslie Phu, ND, LAC

  • Naturopath
  • Portland, OR
  • NPI 1831964477
  NPD Authorized official

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1164269148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N HAMILTON ST",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "40324",
            "telephone_number": "513-356-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N HAMILTON ST",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "40324",
            "telephone_number": "513-356-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YIN FIRE HOLISTIC HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-06-30",
        "status": "A",
        "authorized_official_last_name": "PHU",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "EMPLOYER",
        "authorized_official_telephone_number": "513-356-0958",
        "authorized_official_credential": "ND, LAC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marshall T Wise, MD
• Megan Breanna Wolford, MS, RBT, BCBA
• Weslee Woolums
• WWR, PSC (Georgetown Eye Care)
• Madeline Wyatt
• Madeline Yohon
• Cameron Young, LCSW
• Kristen N Young, LCSW
• Lesa Young, LPCC
• Patrick Young, LPCC

• Clinic/Center in Georgetown, KY
• Providers in Georgetown, KY by specialty
• Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.