location
search-icon
institution
My Holistic Life, Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Collierville, Tennessee
NPI 1366051823

My Holistic Life, Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Collierville, TN. My Holistic Life, Llc practices in Collierville, TN. The NPI Number for My Holistic Life, Llc is 1366051823 and holds a License No. (Tennessee).

The current practice location address for My Holistic Life, Llc is 10454 Juneau Way, Collierville, TN and can be reached out via phone at 901-568-0442 and via fax at 901-284-0008.

Location: 10454 Juneau Way, Collierville, TN, 38017-1968
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366051823
Provider Name
My Holistic Life, Llc
Credential
Provider Entity Type
Organization
Address
10454 Juneau Way, Collierville, TN, 38017-1968
Phone Number
901-568-0442
Fax Number
901-284-0008
Provider Enumeration Date
07/30/2020
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1286 01 TN OTA LICENSE
institution
Provider Business Practice Location Address Details
Address
10454 Juneau Way
City
Collierville
State
Tennessee
Zip
38017-1968
Phone Number
901-568-0442
Fax Number
901-284-0008
person
Provider Business Mailing Address Details
Address
10454 Juneau Way
City
Collierville
State
Tennessee
Zip
38017-1968
Phone Number
901-568-0442
Fax Number
901-284-0008
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.