Holistically Tailored Wellness Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HOLISTICALLY TAILORED WELLNESS CENTER

Practice address

312 Sharon CT
Middletown, OH 45042-4947

Phone

(513) 393-9761

NPI assigned

Apr 13, 2021

Organization subpart

No

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

Authorized official

Name

Tia Monique Hale, LISW-SNPI 1114470242

Title

Co-Owner

Phone

(513) 571-7850

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Tia Hale, LISW-S

  • Clinical Social Worker
  • Wright Patterson AFB, OH
  • NPI 1114470242
  Authorized official Same address or phone

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627862400000",
    "number": "1760062723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 SHARON CT",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450424947",
            "telephone_number": "513-571-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 SHARON CT",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450424947",
            "telephone_number": "513-393-9761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTICALLY TAILORED WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "TIA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "513-571-7850",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0441541",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele Walton Hoehn
• Ronald J Hoehn, PT
• Kelly M Hoffman, PHARMD
• Angela Denise Holbrook
• Kaitlyn Elizabeth Holiga, PA-C
• Heather M. Holland, L.P.C.C.
• Keri N Hollencamp, CNP
• Barbara Holley Profitt
• Bobbie Renee Hollon, LPN
• Jamie N Hollon

• Clinical Social Worker in Middletown, OH
• Providers in Middletown, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.