Provider Demographics
NPI:1093293045
Name:HOLISTIC SOLUTIONS COUNSELING SERVICES
Entity Type:Organization
Organization Name:HOLISTIC SOLUTIONS COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:OSAFO
Authorized Official - Middle Name:
Authorized Official - Last Name:ASARE BEDIAKO
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC CPCS
Authorized Official - Phone:770-880-2294
Mailing Address - Street 1:3847 CARO CT
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30135-7727
Mailing Address - Country:US
Mailing Address - Phone:770-880-2294
Mailing Address - Fax:
Practice Address - Street 1:2110 FAIRBURN RD STE C
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30135-1090
Practice Address - Country:US
Practice Address - Phone:770-880-2294
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-01
Last Update Date:2018-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty