Provider Demographics
NPI:1700615820
Name:HOLISTIC MEDICAL SERVICES UNITED LLC
Entity type:Organization
Organization Name:HOLISTIC MEDICAL SERVICES UNITED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHUMEKA
Authorized Official - Middle Name:TAREESA
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-377-5484
Mailing Address - Street 1:11180 STATE BRIDGE RD STE 204
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30022-7483
Mailing Address - Country:US
Mailing Address - Phone:943-343-7313
Mailing Address - Fax:
Practice Address - Street 1:11180 STATE BRIDGE RD STE 204
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30022-7483
Practice Address - Country:US
Practice Address - Phone:943-343-7313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty