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HOLISTIC FUNCTIONAL WELLNESS CENTER, PLLC
NPI 1649032970
Social Worker - Clinical in Woodbridge, VA

Active since January 23, 2024
12910 HARBOR DR, WOODBRIDGE, VA 22192(347) 835-2989 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Holistic Functional Wellness Center, Pllc NPPES

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

HOLISTIC FUNCTIONAL WELLNESS CENTER, PLLC (NPI 1649032970) is a healthcare organization registered as a clinical in Woodbridge, Virginia and active in the NPI registry since January 2024. The organization lists Erwin Reyna, President, as its authorized official.

NPPES Registry Identity

NPI1649032970
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameHOLISTIC FUNCTIONAL WELLNESS CENTER, PLLC
Location Address12910 HARBOR DRWoodbridge, VA 22192-2930
Mailing Address12910 Harbor DrWoodbridge, VA 22192-2930 · (347) 835-2989
Phone(347) 835-2989
Organization SubpartNo
Authorized OfficialErwin ReynaPresident · (347) 835-2989
Enumeration DateJanuary 23, 2024
Last NPPES UpdateJanuary 31, 2025
NPPES CertifiedJanuary 31, 2025
✔ NPI 1649032970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
12910 HARBOR DR, Woodbridge, VA 22192
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA ALMEIDA-O'REAR LMSW
Social Worker (Clinical)
12910 HARBOR DR
WOODBRIDGE, VA 22192
Prince William County (703) 718-5545
MR. ERWIN REYNA LCSW
Social Worker (Clinical)
12910 HARBOR DR
WOODBRIDGE, VA 22192
Prince William County (347) 835-2989

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 Holistic Functional Wellness Center, PLLC's NPI number?

The NPI number for Holistic Functional Wellness Center, PLLC is 1649032970. It was assigned to this organization in the NPPES registry on January 23, 2024.

Where is Holistic Functional Wellness Center, PLLC located?

Holistic Functional Wellness Center, PLLC is located at 12910 Harbor Dr, Woodbridge, VA 22192. The listed phone number is (347) 835-2989.

What is Holistic Functional Wellness Center, PLLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Holistic Functional Wellness Center, PLLC was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.