Provider Demographics
NPI:1518461839
Name:HOLISTIC COUNSELING, LLC
Entity Type:Organization
Organization Name:HOLISTIC COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:LOLLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC, CCH
Authorized Official - Phone:251-654-5655
Mailing Address - Street 1:9 HANNON AVE
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36604-1202
Mailing Address - Country:US
Mailing Address - Phone:251-654-5655
Mailing Address - Fax:
Practice Address - Street 1:1509 GOVERNMENT ST STE 102
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36604-2016
Practice Address - Country:US
Practice Address - Phone:251-236-7879
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-21
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3863261QM0801X, 261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)