Provider Demographics
NPI:1124993043
Name:HOLISTIC PSYCHOLOGICAL SERVICES
Entity type:Organization
Organization Name:HOLISTIC PSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DOHENY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:347-255-2087
Mailing Address - Street 1:10230 QUEENS BLVD APT LC
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-9500
Mailing Address - Country:US
Mailing Address - Phone:347-255-2087
Mailing Address - Fax:718-288-9488
Practice Address - Street 1:10230 QUEENS BLVD APT LC
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-9500
Practice Address - Country:US
Practice Address - Phone:347-255-2087
Practice Address - Fax:718-228-9488
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MINDFULNESS PSYCHOLOGICAL SERVICES NY PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-10-09
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty