HOLISTIC PSYCHOLOGICAL CLINIC PLLC NPI 1215356225

NPI Information

  • NPI: 1215356225
  • Provider Name: HOLISTIC PSYCHOLOGICAL CLINIC, PLLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 2540 FLOWOOD DR
    SUITE E
    FLOWOOD, MS
    ZIP 39232
  • Phone: (601) 664-1001

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NPI Details

HOLISTIC PSYCHOLOGICAL CLINIC, PLLC is an adult mental health clinic center in Flowood, MS. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. HOLISTIC PSYCHOLOGICAL CLINIC, PLLC NPI is 1215356225. The provider is registered as an organization entity type.

The provider's business location address is:

2540 FLOWOOD DR
SUITE E
FLOWOOD, MS
ZIP 39232-362
Phone: (601) 664-1001

The provider's authorized official is Kimberly Lichte-madakasira .
The authorized official title is Owner/president and has the following contact phone number (601) 664-1001.

The enumeration date for this NPI number is 4/8/2014 and was last updated on 4/17/2014.

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
1261QM0850XClinic/CenterAdult Mental Health0799MISSISSIPPIYes

What is NPI?

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This page was last updated on: 3/30/2025

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