Healthcare Provider Details

I. General information

NPI: 1699958546
Provider Name (Legal Business Name): HOLISTIC HEALTH AND MATERNITY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2007
Last Update Date: 12/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7800 SW 57TH AVE SUITE216
SOUTH MIAMI FL
33143-5528
US

IV. Provider business mailing address

7800 SW 57TH AVE SUITE216
SOUTH MIAMI FL
33143-5528
US

V. Phone/Fax

Practice location:
  • Phone: 305-663-5555
  • Fax: 305-663-5555
Mailing address:
  • Phone: 305-663-5555
  • Fax: 305-663-5555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code136A00000X
TaxonomyRegistered Dietetic Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP2164
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code175L00000X
TaxonomyHomeopath
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code175M00000X
TaxonomyLay Midwife
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberMW176
License Number StateFL
# 8
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP1653
License Number StateFL

VIII. Authorized Official

Name: DR. ANA L YOUNG
Title or Position: CLINIC DIRECTOR
Credential: AP
Phone: 305-663-5555