Provider Demographics
NPI:1023566122
Name:HOLISTIC HOME & HEALTH, LLC
Entity Type:Organization
Organization Name:HOLISTIC HOME & HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOTHERAPIST/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:WATKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:828-237-1238
Mailing Address - Street 1:234 SPARROW PT
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-8323
Mailing Address - Country:US
Mailing Address - Phone:828-237-1238
Mailing Address - Fax:
Practice Address - Street 1:15200 JOG RD
Practice Address - Street 2:303
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-1247
Practice Address - Country:US
Practice Address - Phone:828-237-1238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-17
Last Update Date:2016-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 14039101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty