MEDICARE: HOLISTIC WHOLENESS INSTITUTE

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	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1790598225
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLISTIC WHOLENESS INSTITUTE

Provider Business Mailing Address
First Line	:	PO BOX 240
Second Line	:
City	:	COLTS NECK
State	:	NJ
Zip	:	07722-0240
Country	:	US
Telephone Number	:	732-813-1133
Fax Number	:

Provider Business Practice Location Address
First Line	:	433 PLAZA REAL
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33432-3932
Country	:	US
Telephone Number	:	732-813-1133
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NANCY BELIVEAU
Credential	:
Telephone Number	:	732-813-1133

Provider Enumeration Date	:	01/29/2025
Last Update Date	:	01/29/2025

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Directions to “HOLISTIC WHOLENESS INSTITUTE ” Practice Location

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