Provider Demographics
NPI:1063399210
Name:BOHEME HOLISTIC CLINICAL SERVICES
Entity type:Organization
Organization Name:BOHEME HOLISTIC CLINICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEWELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:270-238-2085
Mailing Address - Street 1:86 OLIVER ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42164-8730
Mailing Address - Country:US
Mailing Address - Phone:270-238-2085
Mailing Address - Fax:
Practice Address - Street 1:110 S COURT ST FL 3
Practice Address - Street 2:
Practice Address - City:SCOTTSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42164-1422
Practice Address - Country:US
Practice Address - Phone:270-238-2085
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty