Healthcare Provider Details

I. General information

NPI: 1184362907
Provider Name (Legal Business Name): HOLISTIC PREGNANCY AND WELLNESS SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2022
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2019 E GARDENIA DR
PATASKALA OH
43062-6018
US

IV. Provider business mailing address

PO BOX 13201
COLUMBUS OH
43213-0201
US

V. Phone/Fax

Practice location:
  • Phone: 614-500-3548
  • Fax:
Mailing address:
  • Phone: 614-500-3548
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: SHIENIECE T HUBBARD
Title or Position: CEO
Credential:
Phone: 614-500-3548