Provider Demographics
NPI:1184054843
Name:HOLMAN FAMILY SERVICES LLC
Entity type:Organization
Organization Name:HOLMAN FAMILY SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR / OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:AISHA
Authorized Official - Middle Name:D
Authorized Official - Last Name:HOLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:214-926-8425
Mailing Address - Street 1:3636 N MACARTHUR BLVD STE 160
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-3601
Mailing Address - Country:US
Mailing Address - Phone:972-375-1200
Mailing Address - Fax:
Practice Address - Street 1:3636 N MACARTHUR BLVD
Practice Address - Street 2:SUITE 160
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-3601
Practice Address - Country:US
Practice Address - Phone:972-375-1200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-17
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
68715261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health