Healthcare Provider Details

I. General information

NPI: 1265266472
Provider Name (Legal Business Name): HOLISTIC FAMILY & BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2024
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30400 DETROIT RD STE 301
WESTLAKE OH
44145-1855
US

IV. Provider business mailing address

30400 DETROIT RD STE 301
WESTLAKE OH
44145-1855
US

V. Phone/Fax

Practice location:
  • Phone: 440-452-0740
  • Fax:
Mailing address:
  • Phone: 440-452-0740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: MISS TENEISHA TAQUAE CRAIGHEAD
Title or Position: OWNER
Credential: APRN, CNP
Phone: 440-452-0740