Provider Demographics
NPI:1255941472
Name:HOLISTIC BEHAVIORAL SOLUTIONS
Entity type:Organization
Organization Name:HOLISTIC BEHAVIORAL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:
Authorized Official - Last Name:POMMELLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-468-1690
Mailing Address - Street 1:PO BOX 497
Mailing Address - Street 2:
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534-0497
Mailing Address - Country:US
Mailing Address - Phone:609-752-3098
Mailing Address - Fax:
Practice Address - Street 1:65 S MAIN ST STE C001
Practice Address - Street 2:
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534-2822
Practice Address - Country:US
Practice Address - Phone:609-752-3098
Practice Address - Fax:866-268-8014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-03
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty