| Holistic Space LLC | |
|
5540 Mcneely Dr Ste 101 Raleigh NC 27612 | |
| (689) 261-1777 | |
| Not Available |
| Full Name | Holistic Space LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 5540 Mcneely Dr Ste 101, Raleigh, North Carolina |
| Authorized Official Name and Position | Heidi Marquez (HOLISTIC PRACTITIONER) |
| Authorized Official Contact | 6892611777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Space LLC 964 High House Rd Cary NC 27513-3574 Ph: (689) 261-1777 | Holistic Space LLC 5540 Mcneely Dr Ste 101 Raleigh NC 27612 Ph: (689) 261-1777 |
| NPI Number | 1568267037 |
|---|---|
| Provider Enumeration Date | 02/18/2025 |
| Last Update Date | 02/18/2025 |
| Certification Date | 02/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568267037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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