Provider Demographics
NPI: | 1023891835 |
---|---|
Name: | HOLISTIC SOLUTIONS LLC |
Entity type: | Organization |
Organization Name: | HOLISTIC SOLUTIONS LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER/DIRECTOR |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | FELICIA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | DOWNS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | LCSW-BACS |
Authorized Official - Phone: | 318-267-9191 |
Mailing Address - Street 1: | PO BOX 8104 |
Mailing Address - Street 2: | |
Mailing Address - City: | MONROE |
Mailing Address - State: | LA |
Mailing Address - Zip Code: | 71211-8104 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 501 STERLINGTON RD # 8104 |
Practice Address - Street 2: | |
Practice Address - City: | MONROE |
Practice Address - State: | LA |
Practice Address - Zip Code: | 71203-3752 |
Practice Address - Country: | US |
Practice Address - Phone: | 318-267-9191 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2023-08-15 |
Last Update Date: | 2023-10-26 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical | Group - Single Specialty |
No | 251S00000X | Agencies | Community/Behavioral Health | Group - Single Specialty |