Healthcare Provider Details

I. General information

NPI: 1609797943
Provider Name (Legal Business Name): HOLLIWELL CENTER FOR HOLISTIC HEALING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 LONGFELLOW AVE
NEWARK NJ
07106-1502
US

IV. Provider business mailing address

111 TOWN SQUARE PL STE 1238
JERSEY CITY NJ
07310-1810
US

V. Phone/Fax

Practice location:
  • Phone: 201-407-6844
  • Fax:
Mailing address:
  • Phone: 201-407-6844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. WENDY TAMARA HOLLINGER
Title or Position: FOUNDER/CEO
Credential: LCSW
Phone: 201-407-6844