MEDICARE: HOLISTIC INSIGHTS WELLBEING, 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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1558243220
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLISTIC INSIGHTS WELLBEING, LLC

Provider Business Mailing Address
First Line	:	14074 TRADE CENTER DR STE 139
Second Line	:
City	:	FISHERS
State	:	IN
Zip	:	46038-4570
Country	:	US
Telephone Number	:	317-480-8600
Fax Number	:	317-793-2196

Provider Business Practice Location Address
First Line	:	14074 TRADE CENTER DR STE 139
Second Line	:
City	:	FISHERS
State	:	IN
Zip	:	46038-4570
Country	:	US
Telephone Number	:	317-480-8600
Fax Number	:	317-793-2196

Authorized Official
Title or Position	:	PARTNER
Name	:	MRS. KRISTIN LANNAN
Credential	:	LCSW
Telephone Number	:	317-797-9910

Provider Enumeration Date	:	07/23/2025
Last Update Date	:	05/27/2026

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