MEDICARE: HOLISTIC TOUCH HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1300X	Multi-Specialty Clinic/Center
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1255951372
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLISTIC TOUCH HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	1412 CRAIN HWY N STE 3A
Second Line	:
City	:	GLEN BURNIE
State	:	MD
Zip	:	21061-7000
Country	:	US
Telephone Number	:	410-595-5029
Fax Number	:	800-611-7439

Provider Business Practice Location Address
First Line	:	1412 CRAIN HWY N STE 3A
Second Line	:
City	:	GLEN BURNIE
State	:	MD
Zip	:	21061-7000
Country	:	US
Telephone Number	:	410-595-5029
Fax Number	:	800-611-7439

Authorized Official
Title or Position	:	CEO
Name	:	GLORIA A OJO
Credential	:	DNP, PMHNP-BC, FNP-C
Telephone Number	:	301-257-1084

Provider Enumeration Date	:	04/18/2020
Last Update Date	:	03/23/2021

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