OrganizationActive
Holistic Wellness & Psychiatry
NPI 1104509140 · Psychiatry Physician · St Thomas, VI
Provider details
- NPI number
- 1104509140
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Laurie Mccormick, Owner(319) 471-1749
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
9150 Estate Thomas
St Thomas, VI 00802-2611
Phone: (340) 224-9658
Fax: (855) 300-4759
Mailing address
42 7th Ave Sw Ste 100
Cedar Rapids, IA 52404-2185
Registry dates
- Enumerated
- 2023-08-08
- Last updated
- 2026-05-29
- Certified
- 2026-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.