Provider Demographics
NPI:1174372387
Name:HOLISTIC PARTNERS NETWORK LLC
Entity type:Organization
Organization Name:HOLISTIC PARTNERS NETWORK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARCUS
Authorized Official - Middle Name:L
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LPCC, LCMHC
Authorized Official - Phone:470-535-9501
Mailing Address - Street 1:5051 PEACHTREE CORNERS CIR STE 224
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-2736
Mailing Address - Country:US
Mailing Address - Phone:404-883-8628
Mailing Address - Fax:
Practice Address - Street 1:5051 PEACHTREE CORNERS CIR STE 224
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30092-2736
Practice Address - Country:US
Practice Address - Phone:404-883-8628
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-18
Last Update Date:2024-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty