Healthcare Provider Details

I. General information

NPI: 1730008285
Provider Name (Legal Business Name): HOLISTIC HEALING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 MAGNOLIA CT STE 101
MOORE OK
73160-1396
US

IV. Provider business mailing address

1211 MAGNOLIA CT STE 101
MOORE OK
73160-1396
US

V. Phone/Fax

Practice location:
  • Phone: 405-588-8452
  • Fax: 405-437-2155
Mailing address:
  • Phone: 405-588-8452
  • Fax: 405-437-2155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: SAMANTHA CHAPMAN
Title or Position: OWNER
Credential:
Phone: 405-588-8452