Healthcare Provider Details

I. General information

NPI: 1932036183
Provider Name (Legal Business Name): THE HOLISTIC BUMP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

220 9TH ST
JERSEY CITY NJ
07302-4288
US

IV. Provider business mailing address

511 MANILA AVE
JERSEY CITY NJ
07302-1723
US

V. Phone/Fax

Practice location:
  • Phone: 848-297-4275
  • Fax:
Mailing address:
  • Phone: 848-297-4275
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: TOVA MCCALL
Title or Position: PRACTICE OWNER
Credential: LCSW
Phone: 848-297-4275