Holistic Wellness Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

HOLISTIC WELLNESS COUNSELING LLC

Practice address

102 E Pebble CT
Jacksonville, NC 28546

Phone

(860) 689-7125

NPI assigned

Sep 1, 2022

Organization subpart

No

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

Authorized official

Name

Maria Civitelli-Forgione

Title

Billing/Credentialing

Phone

(203) 848-8305

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1407576069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 WESTPORT AVE # 1022",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514423",
            "telephone_number": "203-848-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E PEBBLE CT",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "28546",
            "telephone_number": "860-689-7125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC WELLNESS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "CIVITELLI-FORGIONE",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING",
        "authorized_official_telephone_number": "203-848-8305"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Elfert Hogwood, FNP-C
• Kathleen A Holbrook, MSW, LCSW
• Haelyn Holden
• Taylor Julian Holder, LCSW
• Holistic Healing Counseling and Wellness, PLLC
• Sequia Annise Holland-Ellis, M.D.
• Ashley S Holland
• Christin Holland, BCBA
• Olivia Norris Holland, COTA/L
• Marianne Elizabeth Hollingshead, LPN

• Professional Counselor in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.