Looseleaf Holistic Wellness

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LOOSELEAF HOLISTIC WELLNESS

Practice address

3603 Wilderness Dr E
Fort Pierce, FL 34982-6562

Phone

(772) 208-8773

NPI assigned

Dec 7, 2020

Organization subpart

No

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

Authorized official

Name

Letitia Laurien, LCSW

Title

Chief Executive Officer

Phone

(772) 678-1397

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1295331114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 NW PEACOCK BLVD UNIT 881444",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349885063",
            "telephone_number": "772-208-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3603 WILDERNESS DR E",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349826562",
            "telephone_number": "772-208-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOOSELEAF HOLISTIC WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-07",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "LAURIEN",
        "authorized_official_first_name": "LETITIA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "772-678-1397",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliette Lomax Homier, MD
• Long Life Aligned Spine Center, PLLC
• Donna Long, M.S., CCC-SLP
• Erin Melissa Long, DC
• W Roger Long
• Julia Lopes
• Naomi Lopez
• Toni Marlene Lopez
• Thomas Michael Lopilato II, PHARMD
• Thomas Michael Lopilato, RN

• Clinical Social Worker in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.