Provider Demographics
NPI:1003113101
Name:HOLT CONSULTING
Entity Type:Organization
Organization Name:HOLT CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:MARLA
Authorized Official - Middle Name:J
Authorized Official - Last Name:HOLT
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:562-310-5738
Mailing Address - Street 1:23639 HAWTHORNE BLVD
Mailing Address - Street 2:201
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-5930
Mailing Address - Country:US
Mailing Address - Phone:310-373-3420
Mailing Address - Fax:
Practice Address - Street 1:23639 HAWTHORNE BLVD
Practice Address - Street 2:201
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-5930
Practice Address - Country:US
Practice Address - Phone:310-373-3420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-25
Last Update Date:2011-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMFC42698OtherMARRIAGE& FAMILY THERAPIST