Provider Demographics
NPI:1043648306
Name:HOLISTIC COUNSELING LLC
Entity Type:Organization
Organization Name:HOLISTIC COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARMELITA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CHRISTINA
Authorized Official - Suffix:
Authorized Official - Credentials:LIMHP
Authorized Official - Phone:402-507-8710
Mailing Address - Street 1:11414 WEST CENTER RD
Mailing Address - Street 2:STE 348
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-4420
Mailing Address - Country:US
Mailing Address - Phone:402-507-8710
Mailing Address - Fax:402-415-2199
Practice Address - Street 1:11414 WEST CENTER RD
Practice Address - Street 2:STE 348
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-4420
Practice Address - Country:US
Practice Address - Phone:402-507-8710
Practice Address - Fax:402-415-2199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-24
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE4189251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE1043648306Medicaid