Provider Type Icon

HOLISTIC HEALING THERAPY LLC NPI 1972236917


NPI Information

NPI: 1972236917
Provider Name: HOLISTIC HEALING THERAPY, LLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
3304 N STATE ST # 201A
JACKSON, MS
ZIP 39216
Phone: (601) 345-1370
Get Directions

HOLISTIC HEALING THERAPY, LLC is a clinical social worker in Jackson, MS. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. HOLISTIC HEALING THERAPY, LLC NPI is 1972236917. The provider is registered as an organization entity type.

The provider's business location address is:

3304 N STATE ST # 201A
JACKSON, MS
ZIP 39216-129
Phone: (601) 345-1370

The provider's authorized official is Robin Clark .
The authorized official title is Ceo/owner and has the following contact phone number (601) 383-2784.

The enumeration date for this NPI number is 7/7/2022 and was last updated on 7/7/2022.


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
1251S00000XCommunity/Behavioral HealthNo
2261Q00000XClinic/CenterNo
3261QD1600XClinic/CenterDevelopmental DisabilitiesNo
4261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
5261QM0850XClinic/CenterAdult Mental HealthNo
6261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
7320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
81041C0700XSocial WorkerClinicalYes

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: 5/5/2024

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.