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HOLISTIC HEALING THERAPY LLC NPI 1326721002


NPI Information

NPI: 1326721002
Provider Name: HOLISTIC HEALING THERAPY LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
6642 THEISEN ST
DEARBORN, MI
ZIP 48126
Phone: (313) 414-3093
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HOLISTIC HEALING THERAPY LLC is an adult mental health clinic center in Dearborn, MI. 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 HEALING THERAPY LLC NPI is 1326721002. The provider is registered as an organization entity type.

The provider's business location address is:

6642 THEISEN ST
DEARBORN, MI
ZIP 48126-984
Phone: (313) 414-3093

The provider's authorized official is Fatme Ancouni .
The authorized official title is Clinical Social Worker and has the following contact phone number (313) 414-3093.

The enumeration date for this NPI number is 8/9/2023 and was last updated on 8/9/2023.


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 HealthYes

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

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