Organization Active NPI

Holistic Wellness Consulting LLC

  • Clinical Psychologist
  • Winter Park, FL
National Provider Identifier
1285929943
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
MH7458 Issued in FL
Legal business name
HOLISTIC WELLNESS CONSULTING LLC
Practice address
2431 Aloma Ave
Suite 251
Winter Park, FL 32792-9999
Phone
(407) 704-3166
NPI assigned
Jun 10, 2011
Last updated
Nov 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Authorized official

Name
Chery A Burke
Title
Owner
Phone
(407) 704-3166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X MH7458 FL Primary

Addresses

Primary practice location

2431 Aloma Ave
Suite 251
Winter Park, FL 32792-9999

Mailing address

PO Box 1866
Winter Park, FL 32790-1866
Phone (407) 704-3166

National Provider Directory

National Provider Directory

Locations

32 SE Osceola St
Ste C
Stuart, FL 34994

777 S Flagler Dr
West Palm Beach, FL 33401
Phone (561) 460-0284

2431 Aloma Ave
Ste 251
Winter Park, FL 32792
Phone (407) 704-3166

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1285929943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1866",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327901866",
            "telephone_number": "407-704-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 ALOMA AVE",
            "address_2": "SUITE 251",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327929999",
            "telephone_number": "407-704-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC WELLNESS CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-10",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "CHERY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-704-3166"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "MH7458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.