Organization Name: | HOLISTIC MENTAL WELLNESS, LLC |
NPI Number: | 1376853739 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TRACY SABAS RAMOS (OWNER) |
Mailing Address: | 2295 S Hiawassee Rd Suite 201-h Orlando |
State: | FL US |
Postal Code: | 328358746 |
Phone Number: | 4072225968 |
Fax Number: | |
NPI Enumeration Date: | 10/19/2010 |
NPI Last Update Date: | 10/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH9810 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |