Healthcare Provider Details

I. General information

NPI: 1306691076
Provider Name (Legal Business Name): THE HOLISTIC HIVE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2024
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 EASTERN SHORE DR UNIT A
SALISBURY MD
21804-6463
US

IV. Provider business mailing address

PO BOX 297
PARSONSBURG MD
21849-0297
US

V. Phone/Fax

Practice location:
  • Phone: 410-205-9177
  • Fax: 410-202-3955
Mailing address:
  • Phone: 410-205-9177
  • Fax: 410-202-3955

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101200000X
TaxonomyDrama Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. VENESSA ANN BOWERS
Title or Position: MANAGING PARTNER
Credential: LCSW-C
Phone: 410-205-9177