Provider Demographics
NPI:1235810706
Name:HOLISTIC HEALING COUNSELING AND LIFE COACHING
Entity Type:Organization
Organization Name:HOLISTIC HEALING COUNSELING AND LIFE COACHING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEANETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:256-504-2501
Mailing Address - Street 1:PO BOX 2033
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35903-0033
Mailing Address - Country:US
Mailing Address - Phone:256-504-2501
Mailing Address - Fax:
Practice Address - Street 1:713 KEELING RD
Practice Address - Street 2:
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35903-3827
Practice Address - Country:US
Practice Address - Phone:256-504-2033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-27
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty