Provider Demographics
NPI:1942830328
Name:HOLISTIC HEALTH CARE SERVICES, INC
Entity Type:Organization
Organization Name:HOLISTIC HEALTH CARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:ENOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-922-7744
Mailing Address - Street 1:22175 PLANK RD
Mailing Address - Street 2:
Mailing Address - City:ZACHARY
Mailing Address - State:LA
Mailing Address - Zip Code:70791-7465
Mailing Address - Country:US
Mailing Address - Phone:225-654-8974
Mailing Address - Fax:
Practice Address - Street 1:22175 PLANK RD
Practice Address - Street 2:
Practice Address - City:ZACHARY
Practice Address - State:LA
Practice Address - Zip Code:70791-7465
Practice Address - Country:US
Practice Address - Phone:225-654-8974
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-24
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1476587Medicaid
LA1470414Medicaid
LA1476579Medicaid