Provider Demographics
NPI:1366999237
Name:HOLISTIC PSYCHSOLUTIONS, INC
Entity type:Organization
Organization Name:HOLISTIC PSYCHSOLUTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LICENSE CLINICAL SOCIAL WORKE
Authorized Official - Prefix:MS
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:JAZZ
Authorized Official - Last Name:IRIZARRY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:760-284-3880
Mailing Address - Street 1:2945 HARDING ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-1818
Mailing Address - Country:US
Mailing Address - Phone:760-284-3880
Mailing Address - Fax:760-284-3881
Practice Address - Street 1:2945 HARDING ST
Practice Address - Street 2:SUITE 104
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-1818
Practice Address - Country:US
Practice Address - Phone:760-284-3880
Practice Address - Fax:760-284-3881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-08
Last Update Date:2016-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW71291251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health