MEDICARE: THE HOLISTIC LIVING CO., PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1265381727
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE HOLISTIC LIVING CO., PLLC

Provider Business Mailing Address
First Line	:	16131 LANCASTER HWY STE 120
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-2973
Country	:	US
Telephone Number	:	704-318-4338
Fax Number	:	980-446-3728

Provider Business Practice Location Address
First Line	:	4030 WAKE FOREST RD SUITE 349
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609
Country	:	US
Telephone Number	:	704-318-4338
Fax Number	:	980-446-3728

Authorized Official
Title or Position	:	FOUNDER
Name	:	CHIRSTEEN BADIE
Credential	:
Telephone Number	:	704-318-4338

Provider Enumeration Date	:	01/27/2026
Last Update Date	:	01/27/2026

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