Provider Demographics
NPI:1053883512
Name:HEALTH, HEALING AND WHOLENESS, LLC
Entity type:Organization
Organization Name:HEALTH, HEALING AND WHOLENESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:CMHC
Authorized Official - Phone:435-915-6915
Mailing Address - Street 1:95 W 100 S STE 386
Mailing Address - Street 2:
Mailing Address - City:LOGAN
Mailing Address - State:UT
Mailing Address - Zip Code:84321-5838
Mailing Address - Country:US
Mailing Address - Phone:435-915-6915
Mailing Address - Fax:435-226-4484
Practice Address - Street 1:95 W 100 S STE 386
Practice Address - Street 2:
Practice Address - City:LOGAN
Practice Address - State:UT
Practice Address - Zip Code:84321-5838
Practice Address - Country:US
Practice Address - Phone:435-915-6915
Practice Address - Fax:435-226-4484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-21
Last Update Date:2018-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Multi-Specialty