Longevity Holistic Wellness LLC
NPI #1952028839 in Whitefish Bay, Wisconsin
Provider Information
- NPI Number
- 1952028839
- Entity Type
- Organization
- Organization Name
- Longevity Holistic Wellness LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Oct 21, 2022
- Last Updated
- Jan 2, 2026
Practice Location
- Address
- 121 E SILVER SPRING DR STE 202
- City
- Whitefish Bay
- State
- Wisconsin
- ZIP Code
- 53217-4762
- Phone
- (262) 292-1018
Authorized Official
- Name
- MARY MUHAMMAD, LPC
- Title
- CO-OWNER
- Phone
- (262) 292-1018
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Counselor - Mental Health — Mental Health |
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