Holistika LLC.
Community/Behavioral Health in Lake Mary, FL. Organization (NPI-2).
NPI number1558069187
StatusActive
Last updated in NPPESFeb 22, 2023
Details
- NPI
- 1558069187
- Entity type
- Organization (NPI-2)
- Legal business name
- Holistika LLC.
- Organization subpart
- No
- Enumeration date
- Feb 22, 2023
- Certification date
- Feb 22, 2023
- Last updated
- Feb 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
3074 W Lake Mary Blvd Ste 132Lake Mary, FL 32746-6749
Phone 407-333-0404
Mailing address
414 Mohave TerLake Mary, FL 32746-7009
Phone 908-380-6643
Authorized official
Jossie Thurman
Mental Health Counselor
4074550529
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