Provider Demographics
NPI:1306435185
Name:CONSCIOUS HEALTH WHOLENESS
Entity type:Organization
Organization Name:CONSCIOUS HEALTH WHOLENESS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOYA
Authorized Official - Middle Name:K
Authorized Official - Last Name:SYKES
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:937-241-3720
Mailing Address - Street 1:2800 E BROAD ST STE 308
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-6412
Mailing Address - Country:US
Mailing Address - Phone:682-242-4325
Mailing Address - Fax:
Practice Address - Street 1:2800 E BROAD ST STE 308
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-6412
Practice Address - Country:US
Practice Address - Phone:937-241-3720
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-15
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric MedicineGroup - Single Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty