Holistic Mental Wellness

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HOLISTIC MENTAL WELLNESS

Practice address

177 Starling Rd
Springfield, MA 01119-2228

Phone

(413) 276-1711

NPI assigned

Oct 21, 2020

Organization subpart

No

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

Authorized official

Name

Brazil MartinNPI 1811432065

Title

Ceo

Phone

(413) 459-2260

Specialties & licenses 1

Addresses

Other names 1

• Holistic Mental Wellness Former legal business name

Practitioners 1

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

• Brazil Martin

  • Clinical Social Worker
  • Springfield, MA
  • NPI 1811432065
  NPD (past) Authorized official

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1174122089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 STARLING RD",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011192228",
            "telephone_number": "413-276-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 STARLING RD",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011192228",
            "telephone_number": "413-276-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC MENTAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2022-06-10",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "BRAZIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "413-459-2260"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holistic Mental Wellness",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Holistic Mental Wellness",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Elaine Tryon Holdsworth, M.ED LCSW OF MA
• Eimy Tatiana Holguin
• Maria Alejandra Holguin, NP
• Holistic Allies, LLC
• Holistic Haven Psychiatry, PLLC
• Mary Elizabeth Holland-Duggan
• Lisa S Holland
• Taminesha Holley
• Katherine Montana Holliday
• Lyn Marie Hollinger, RD, LDN

• Clinical Social Worker in Springfield, MA
• Providers in Springfield, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.