HOLISTIC SERVICES LLC NPI 1871983239

NPI Information

NPI: 1871983239
Provider Name: HOLISTIC SERVICES LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
969 W MAIN ST
1 D
WATERBURY, CT
ZIP 06708
Phone: (203) 525-8052
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HOLISTIC SERVICES LLC is a psychiatric/mental health nurse practitioner in Waterbury, CT. HOLISTIC SERVICES LLC NPI is 1871983239. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

969 W MAIN ST
1 D
WATERBURY, CT
ZIP 06708-653
Phone: (203) 525-8052

The provider's authorized official is Lori Pelosi .
The authorized official title is Owner and has the following contact phone number (203) 525-8052.

The enumeration date for this NPI number is 1/23/2015 and was last updated on 9/10/2015.

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	363L00000X	Nurse Practitioner		005149	CONNECTICUT	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	005149	CONNECTICUT	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	Other Provider Identifier Issuer
1	008057481	MEDICAID	CONNECTICUT
2	D40081308	MEDICARE UPIN	CONNECTICUT

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

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