Provider Demographics
NPI:1659951374
Name:HOLISTIC WELLNESS COUNSELING, PLLC
Entity Type:Organization
Organization Name:HOLISTIC WELLNESS COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:MISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:936-433-4929
Mailing Address - Street 1:301 HIGHWAY 59 LOOP S STE F
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77351-9095
Mailing Address - Country:US
Mailing Address - Phone:936-433-4929
Mailing Address - Fax:
Practice Address - Street 1:301 HIGHWAY 59 LOOP S STE F
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:TX
Practice Address - Zip Code:77351-9095
Practice Address - Country:US
Practice Address - Phone:936-433-4929
Practice Address - Fax:936-327-2147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-08
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)