Provider Demographics
NPI:1033512645
Name:HOLISTIC FAMILY SOLUTIONS INC.
Entity Type:Organization
Organization Name:HOLISTIC FAMILY SOLUTIONS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON AFONJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:7572-516-3276
Mailing Address - Street 1:1919 COMMERCE DR
Mailing Address - Street 2:160
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-4269
Mailing Address - Country:US
Mailing Address - Phone:757-251-6376
Mailing Address - Fax:757-788-8599
Practice Address - Street 1:1919 COMMERCE DR
Practice Address - Street 2:160
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-4269
Practice Address - Country:US
Practice Address - Phone:757-251-6376
Practice Address - Fax:757-788-8599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-28
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty