Holistic Athlete LLC
Psychologist, Exercise & Sports in Middlefield, Connecticut
1932834926- Practice location
- 24B Rosemary Ln, Middlefield, CT 06455-1041
- Phone
- 860-877-6093
- Fax
- —
- Last updated
- July 22, 2022
Holistic Athlete LLC is a healthcare organization based in Middlefield, CT. Holistic Athlete LLC practices in Middlefield, CT. The NPI Number for Holistic Athlete LLC is 1932834926. The current practice location address for Holistic Athlete LLC is 24B Rosemary Ln, Middlefield, CT 06455-1041 and can be reached out via phone at 860-877-6093.
Provider Profile Details
- NPI Number
- 1932834926
- Provider Name
- Holistic Athlete LLC
- Provider Entity Type
- Organization
- Address
- 24B Rosemary Ln, Middlefield, CT 06455-1041
- Phone Number
- 860-877-6093
- Primary Taxonomy
- Psychologist, Exercise & Sports · 103TE1100X
- Organization Subpart
- No
- Authorized Official
- Zachary Etter, LPC CMPC · Ceo · 860-877-6093
- Provider Enumeration Date
- July 22, 2022
- Last Update Date
- July 22, 2022
- Certification Date
- July 22, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 24B Rosemary Ln
Middlefield, CT 06455-1041 - City
- Middlefield
- State
- Connecticut
- Zip
- 06455-1041
- Phone Number
- 860-877-6093
Provider Business Mailing Address Details
- Address
- 24B Rosemary Ln
Middlefield, CT 06455-1041 - City
- Middlefield
- State
- CT
- Zip
- 06455-1041
- Phone Number
- 860-877-6093
License Information
- Taxonomy (1)
- Psychologist, Counseling · 103TC1900X
- Taxonomy (2)
- Psychologist, Exercise & Sports · 103TE1100X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Holistic Athlete LLC?
The NPI number of Holistic Athlete LLC is 1932834926. It was assigned on July 22, 2022 and is currently active in the NPPES registry.
What is the specialty of Holistic Athlete LLC?
Holistic Athlete LLC is registered under the primary taxonomy Psychologist, Exercise & Sports (code 103TE1100X).
Where does Holistic Athlete LLC practice?
The practice location is 24B Rosemary Ln, Middlefield, CT 06455-1041. The office can be reached at 860-877-6093 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1932834926 directly on the NPPES registry website.