Manifest Holistic Centre, LLC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

MANIFEST HOLISTIC CENTRE, LLC

Practice address

17800 Chillicothe Rd Ste 240
Chagrin Falls, OH 44023-4886

Phone

(440) 384-3196

NPI assigned

Jan 17, 2024

Last updated

Jan 17, 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

Keira Sealie

Title

Office Administrator

Phone

(360) 209-3440

Specialties & licenses 5

Addresses

Locations

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.

• Davvie Moore

  • Doula
  • Chagrin Falls, OH
  • NPI 1447079926
  NPD

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1497516462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17800 CHILLICOTHE RD STE 240",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440234886",
            "telephone_number": "440-384-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17800 CHILLICOTHE RD STE 240",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440234886",
            "telephone_number": "440-384-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANIFEST HOLISTIC CENTRE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "SEALIE",
        "authorized_official_first_name": "KEIRA",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "360-209-3440"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Christine Maglietta
• James T. Maier, PT, MS
• Rena Mammoo
• Christopher F Manacci, DNP, ACNP-C
• Heather Marie Manchen, ACNP
• Mark C. Brown, PHD,LLC
• Tara Odams Marnin, OTR/L
• Jane Marie Maroun
• Marymount Care Services LLC
• Marymount Primary Care Services Inc

• Health & Wellness Coach in Chagrin Falls, OH
• Providers in Chagrin Falls, OH by specialty
• Health & Wellness Coach in Ohio

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