{"npi":"1891369823","type":"NPI-2","status":"active","name":{"display":"Holistic Wellness Group, LLC","other":[],"organization_name":"HOLISTIC WELLNESS GROUP, LLC","authorised_official":"Melissa Ashley"},"specialty":{"primary_taxonomy":"363LP0808X","primary_taxonomy_description":"Psychiatric/Mental Health Nurse Practitioner","slug":"psychiatric-mental-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":false,"state":null,"license":null},{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"808 LAY DAM RD","city":"CLANTON","state":"AL","postal_code":"350452943","country_code":"US","phone":"2053691273","fax":"2053691273"},{"purpose":"MAILING","street_1":"125 COBB DR","city":"JEMISON","state":"AL","postal_code":"350854197","country_code":"US","phone":"2054309966","fax":"9152231562"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"270189","state":"AL","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2021-05-14","last_updated":"2021-12-31","_meta":{"source":"NPPES","snapshot_date":"2021-12-31","doc_url":"https://findmynpi.com/api"}}