Healthcare Provider Details

I. General information

NPI: 1932056702
Provider Name (Legal Business Name): COACHING SALUD HOLISTICA, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2026
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8386 DREAM PL
WALKERSVILLE MD
21793-7704
US

IV. Provider business mailing address

8386 DREAM PL
WALKERSVILLE MD
21793-7704
US

V. Phone/Fax

Practice location:
  • Phone: 240-418-3017
  • Fax:
Mailing address:
  • Phone: 240-418-3017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateNULL

VIII. Authorized Official

Name: JHOSELYN RODRIGUEZ
Title or Position: CEO
Credential:
Phone: 240-418-3017