Holistic Wellness Group, LLC

Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Clanton, AL

NPI 1891369823 · NPPES record last updated Dec 31, 2021

Key facts

NPI
1891369823
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Legal business name
HOLISTIC WELLNESS GROUP, LLC
Practice address
808 Lay Dam Rd
Clanton, AL 35045-2943
Phone
(205) 369-1273
Fax
(205) 369-1273
NPI assigned
May 14, 2021
Organization subpart
No

Authorized official

Name
Melissa Ashley, CRNP
Title
Prescriber/Member
Phone
(205) 430-9966

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25772/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LF0000X
Psychiatric/Mental Health Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LP0808X Yes

Addresses

Primary practice location

808 Lay Dam Rd
Clanton, AL 35045-2943

Mailing address

125 Cobb Dr
Jemison, AL 35085-4197
Phone (205) 430-9966

Other identifiers

IdentifierTypeStateIssuer
270189MedicaidAL

Other names

  • Holistic Wellness Group, LLC Former legal business name

Other providers in Clanton, AL

All providers in Clanton, AL · Psychiatric/Mental Health Nurse Practitioner in Alabama

Sources for this page

Verify at the official NPI Registry.