Provider Demographics
NPI:1285348268
Name:OUR HOPEFUL AND HOLISTIC HEALING CENTER, PLLC.
Entity type:Organization
Organization Name:OUR HOPEFUL AND HOLISTIC HEALING CENTER, PLLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:JULIEN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:617-398-7119
Mailing Address - Street 1:529 MAIN ST STE 200
Mailing Address - Street 2:
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-1119
Mailing Address - Country:US
Mailing Address - Phone:617-398-7119
Mailing Address - Fax:617-871-6834
Practice Address - Street 1:529 MAIN ST STE 200
Practice Address - Street 2:
Practice Address - City:CHARLESTOWN
Practice Address - State:MA
Practice Address - Zip Code:02129-1119
Practice Address - Country:US
Practice Address - Phone:617-398-7119
Practice Address - Fax:617-871-6834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-13
Last Update Date:2023-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty