Provider Demographics
NPI:1518840297
Name:HOLISTICKA HEALTH & WELLNESS, LLC
Entity type:Organization
Organization Name:HOLISTICKA HEALTH & WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:METAPHYSICIAN/HOLISTIC PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:LOREN
Authorized Official - Middle Name:
Authorized Official - Last Name:EARLEY
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:580-399-9090
Mailing Address - Street 1:242 DUKE ST
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:OK
Mailing Address - Zip Code:73401-7374
Mailing Address - Country:US
Mailing Address - Phone:580-399-9090
Mailing Address - Fax:
Practice Address - Street 1:242 DUKE ST
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:OK
Practice Address - Zip Code:73401-7374
Practice Address - Country:US
Practice Address - Phone:580-399-9090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center