Provider Demographics
NPI:1457959140
Name:HOLISTIC HEALTH AND BEHAVIORAL SERVICES INC
Entity Type:Organization
Organization Name:HOLISTIC HEALTH AND BEHAVIORAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:ABAH
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:773-603-5858
Mailing Address - Street 1:75 EXECUTIVE DR STE 339
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-8124
Mailing Address - Country:US
Mailing Address - Phone:773-603-5858
Mailing Address - Fax:734-203-7149
Practice Address - Street 1:75 EXECUTIVE DR STE 339
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-8124
Practice Address - Country:US
Practice Address - Phone:773-603-5858
Practice Address - Fax:734-203-7149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-14
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty