Healthcare Provider Details

I. General information

NPI: 1407471659
Provider Name (Legal Business Name): HOLISTIC TOUCH HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2020
Last Update Date: 03/23/2021
Certification Date: 03/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1412 CRAIN HWY N STE 3A
GLEN BURNIE MD
21061-7000
US

IV. Provider business mailing address

1412 CRAIN HWY N STE 3A
GLEN BURNIE MD
21061-7000
US

V. Phone/Fax

Practice location:
  • Phone: 410-595-5029
  • Fax: 800-611-7439
Mailing address:
  • Phone: 410-595-5029
  • Fax: 800-611-7439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: GLORIA OJO
Title or Position: PRESIDENT
Credential: DNP, FNP, PMHNP-BC
Phone: 301-257-1084