Provider Demographics
NPI:1730651118
Name:WHOLISTIC RESOLUTIONS, LLC
Entity type:Organization
Organization Name:WHOLISTIC RESOLUTIONS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHELMESHIA
Authorized Official - Middle Name:MARCHAE
Authorized Official - Last Name:HILL-BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:757-609-3115
Mailing Address - Street 1:1425 BATTLEFIELD BLVD N #1027
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320
Mailing Address - Country:US
Mailing Address - Phone:757-609-3115
Mailing Address - Fax:800-850-8627
Practice Address - Street 1:115 COASTAL WAY
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-4603
Practice Address - Country:US
Practice Address - Phone:757-609-3115
Practice Address - Fax:800-850-8627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-21
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA601041075OtherMAGELLAN (MIS)
VA1730651118Medicaid