Provider Demographics
NPI:1093504516
Name:BEING WHOLISTIC COLLECTIVE
Entity type:Organization
Organization Name:BEING WHOLISTIC COLLECTIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VANESSA-GISSELE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-957-4655
Mailing Address - Street 1:2173 SALK AVE STE 250
Mailing Address - Street 2:PMB 2043
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-7383
Mailing Address - Country:US
Mailing Address - Phone:760-710-9213
Mailing Address - Fax:
Practice Address - Street 1:914 MELALEUCA AVE APT K
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92011-3829
Practice Address - Country:US
Practice Address - Phone:760-710-9213
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty