Provider Demographics
NPI:1861893489
Name:COMPREHENSIVE HOLISTIC & INTEGRATIVE CARE LLC
Entity type:Organization
Organization Name:COMPREHENSIVE HOLISTIC & INTEGRATIVE CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CHERIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:GALLANT
Authorized Official - Suffix:
Authorized Official - Credentials:DC, MS
Authorized Official - Phone:440-781-9237
Mailing Address - Street 1:7970 MENTOR AVE
Mailing Address - Street 2:SUITE #A3
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44060-5614
Mailing Address - Country:US
Mailing Address - Phone:440-781-9237
Mailing Address - Fax:
Practice Address - Street 1:7970 MENTOR AVE
Practice Address - Street 2:SUITE #A3
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-5614
Practice Address - Country:US
Practice Address - Phone:440-781-9237
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-15
Last Update Date:2014-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH020826225700000X
OH4396111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty