MY HOLISTIC LIFE, LLC
NPI 1366051823
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Collierville, TN

Q: What is My Holistic Life, LLC's NPI number?

The NPI number for My Holistic Life, LLC is 1366051823. It was assigned to this organization in the NPPES registry on July 30, 2020.

Q: What is My Holistic Life, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Active since July 30, 2020

10454 JUNEAU WAY, COLLIERVILLE, TN 38017(901) 568-0442(901) 284-0008 Get Directions Write a Review

NPPES record last updated: July 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About My Holistic Life, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MY HOLISTIC LIFE, LLC (NPI 1366051823) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Collierville, Tennessee and active in the NPI registry since July 2020. The organization lists Ronda Mae Welty, Owner, as its authorized official.

NPPES Registry Identity

NPI1366051823

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameMY HOLISTIC LIFE, LLC

Location Address10454 JUNEAU WAYCollierville, TN 38017-1968

Mailing Address10454 Juneau WayCollierville, TN 38017-1968 · (901) 568-0442 · Fax (901) 284-0008

Phone(901) 568-0442

Fax(901) 284-0008

Organization SubpartNo

Authorized OfficialRonda Mae WeltyOwner · (901) 568-0442

Enumeration DateJuly 30, 2020

NPPES CertifiedJuly 30, 2020

✔ NPI 1366051823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Also ListedClinic/Center · Developmental DisabilitiesTaxonomy 261QD1600X

10454 JUNEAU WAY, Collierville, TN 38017

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Other Names 1

Other NameMy Holistic Life, Llc

Other Identifiers 1

Other1286TN · Ota License

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is My Holistic Life, LLC's NPI number?

The NPI number for My Holistic Life, LLC is 1366051823. It was assigned to this organization in the NPPES registry on July 30, 2020.

Where is My Holistic Life, LLC located?

My Holistic Life, LLC is located at 10454 Juneau Way, Collierville, TN 38017. The listed phone number is (901) 568-0442.

What is My Holistic Life, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for My Holistic Life, LLC was last updated on July 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.