Provider Demographics
NPI:1508191578
Name:HOLISTIC CONSULTATION LLC
Entity Type:Organization
Organization Name:HOLISTIC CONSULTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:SERTELL
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:614-607-0980
Mailing Address - Street 1:3857 N HIGH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-3752
Mailing Address - Country:US
Mailing Address - Phone:614-607-0980
Mailing Address - Fax:
Practice Address - Street 1:3857 N HIGH ST STE 200
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3752
Practice Address - Country:US
Practice Address - Phone:614-607-0980
Practice Address - Fax:866-735-6208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-08
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty