Organization Active NPI

Holistic Care & Wellness

  • Clinic/Center
  • Coconut Creek, FL
National Provider Identifier
1497631618
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HOLISTIC CARE & WELLNESS
Practice address
6370 N State Road 7 Ste 119
Coconut Creek, FL 33073-3606
Phone
(954) 533-8960
NPI assigned
Aug 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Authorized official

Name
Dieuna Jean Laurent, RN
Title
Owner / Oparator
Phone
(754) 248-8859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

6370 N State Road 7 Ste 119
Coconut Creek, FL 33073-3606

Mailing address

6370 N State Road 7 Ste 119
Coconut Creek, FL 33073-3606
Phone (954) 533-8960

Other names 1

  • Glam R Us Med Spa Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2330215Holistic Care and Wellness LLC6370 N State Rd 7, Suite 119, Coconut Creek, FL 33073Certificate of waiverSep 11, 2027

National Provider Directory

National Provider Directory

Locations

6370 N State Road 7
Ste 119
Coconut Creek, FL 33073
Phone (954) 533-8960

NPI Registry JSON

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1497631618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6370 N STATE ROAD 7 STE 119",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733606",
            "telephone_number": "954-533-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6370 N STATE ROAD 7 STE 119",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330733606",
            "telephone_number": "954-533-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC CARE & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "JEAN LAURENT",
        "authorized_official_first_name": "DIEUNA",
        "authorized_official_title_or_position": "OWNER / OPARATOR",
        "authorized_official_telephone_number": "754-248-8859",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glam R Us Med Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.