Healthcare Provider Details

I. General information

NPI: 1699692640
Provider Name (Legal Business Name): HOLISTIC HEALING & COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1605 N ANKENY BLVD STE 210
ANKENY IA
50023-4163
US

IV. Provider business mailing address

1500 W 3RD ST
MANNING IA
51455-1810
US

V. Phone/Fax

Practice location:
  • Phone: 833-311-1661
  • Fax:
Mailing address:
  • Phone: 833-311-1661
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: AMY HUGHES
Title or Position: STRATEGIC BUSINESS PARTNER
Credential:
Phone: 833-311-1661