HOLISTIC COACHING TREATMENT CENTER NPI 1992286900

NPI Information

NPI: 1992286900
Provider Name: HOLISTIC COACHING TREATMENT CENTER
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
3510 1ST AVE S # 226
ST PETERSBURG, FL
ZIP 33711
Phone: (727) 678-1751
Get Directions

HOLISTIC COACHING TREATMENT CENTER is a community based residential treatment facility mental illness in St Petersburg, FL. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. HOLISTIC COACHING TREATMENT CENTER NPI is 1992286900. The provider is registered as an organization entity type.

The provider's business location address is:

3510 1ST AVE S # 226
ST PETERSBURG, FL
ZIP 33711-304
Phone: (727) 678-1751

The provider's authorized official is Jannet T Harper .
The authorized official title is Executive Director Of Programming and has the following contact phone number (727) 678-1751.

The enumeration date for this NPI number is 8/27/2018 and was last updated on 8/27/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	324500000X	Substance Abuse Rehabilitation Facility		ISW11776	FLORIDA	No
2	363LC1500X	Nurse Practitioner	Community Health	ARNP9400491	FLORIDA	No
3	364S00000X	Clinical Nurse Specialist		ARNP9400491	FLORIDA	No
4	1041C0700X	Social Worker	Clinical	MH7947	FLORIDA	No
5	2084A0401X	Psychiatry & Neurology	Addiction Medicine	ME106165	FLORIDA	No
6	2084P0802X	Psychiatry & Neurology	Addiction Psychiatry	ME106165	FLORIDA	No
7	101YA0400X	Counselor	Addiction (Substance Use Disorder)	ISW11776	FLORIDA	No
8	251S00000X	Community/Behavioral Health		ARNP9400491	FLORIDA	No
9	1041C0700X	Social Worker	Clinical	ISW11776	FLORIDA	No
10	320800000X	Community Based Residential Treatment Facility, Mental Illness		ISW11776	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1871048314	MEDICAID	FLORIDA
2	1407055171	MEDICAID	FLORIDA
3	1346559820	MEDICAID	FLORIDA
4	1063865608	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »