Provider Demographics
NPI:1427557602
Name:HOLISTIC COUNSELING OF GREATER DANBURY LLC
Entity Type:Organization
Organization Name:HOLISTIC COUNSELING OF GREATER DANBURY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR/SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:LAKIA
Authorized Official - Last Name:COLON
Authorized Official - Suffix:
Authorized Official - Credentials:LADC, LPC
Authorized Official - Phone:203-885-2305
Mailing Address - Street 1:15 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-5604
Mailing Address - Country:US
Mailing Address - Phone:203-885-2305
Mailing Address - Fax:
Practice Address - Street 1:15 NORTH ST
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-5604
Practice Address - Country:US
Practice Address - Phone:203-885-2305
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-02
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001235101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty