Healthcare Provider Details

I. General information

NPI: 1639087786
Provider Name (Legal Business Name): HOLISTIC MIND CONNECTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 W MAIN ST STE B
FRONT ROYAL VA
22630-2655
US

IV. Provider business mailing address

2045 S PLEASANT VALLEY RD # 1108
WINCHESTER VA
22601-7001
US

V. Phone/Fax

Practice location:
  • Phone: 540-252-3317
  • Fax:
Mailing address:
  • Phone: 540-252-3317
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: AMANDA SHENK
Title or Position: OWNER
Credential: LPC
Phone: 540-252-3317