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
-
Kristy Gaddis Bailey, LMSW
-
Pamela Sharon Boykin, LCSW
-
Irish Maria Burgess, M.ED, NCC
-
Mandy Owens Carter, ALC
-
Susan Lamb Walker, ED.S., LPC, RPT
-
Jimmy B Payton, LMSW
-
Amanda Reed, LPC
-
Anna Gatlin, LCSW
-
Mesha Cain, MA
-
Christy Rebecca Hiagler, LCSW
-
Jared Hood, M.ED., LPC
National Provider Directory
Interoperability endpoints
- https://api.platform.athenahealth.com/25772/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 270189 | Medicaid | AL |
Other names
- Holistic Wellness Group, LLC
Other providers in Clanton, AL
- William Samuel Herring
- Christy Rebecca Hiagler
- Hirenkumar Jani MD PC
- Jennifer Michelle Hobbs
- Brittney Hogue
- Jared Hood
- Whitney Diane Horton
- Isabella Childress Hudson
- Michelle Lee Hudson
- Hughes Chiropractic Clinic
All providers in Clanton, AL · Psychiatric/Mental Health Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.