Provider Demographics
NPI:1467261073
Name:HOLISTIC APPROACH THERAPY LLC
Entity type:Organization
Organization Name:HOLISTIC APPROACH THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMHC
Authorized Official - Prefix:
Authorized Official - First Name:THALISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:TELLERIA
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:352-538-9889
Mailing Address - Street 1:50 MENORES AVE APT 831
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-4085
Mailing Address - Country:US
Mailing Address - Phone:352-538-9889
Mailing Address - Fax:
Practice Address - Street 1:50 MENORES AVE APT 831
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-4085
Practice Address - Country:US
Practice Address - Phone:352-538-9889
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty