Provider Demographics
NPI:1255941332
Name:HOLISTIC PAIN AND WELLNESS SPECIALISTS
Entity type:Organization
Organization Name:HOLISTIC PAIN AND WELLNESS SPECIALISTS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHERITH
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:ZORBAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-208-8164
Mailing Address - Street 1:5732 HARRIER DR
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:VA
Mailing Address - Zip Code:20124-0910
Mailing Address - Country:US
Mailing Address - Phone:703-637-3586
Mailing Address - Fax:703-637-3586
Practice Address - Street 1:101 W BROAD ST STE 302
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-4200
Practice Address - Country:US
Practice Address - Phone:703-637-3586
Practice Address - Fax:703-637-3586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-04
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1255941332Medicaid