Provider Demographics
NPI:1780043968
Name:HOLISTIC CARE FOR WOMEN
Entity type:Organization
Organization Name:HOLISTIC CARE FOR WOMEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HORSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-458-4800
Mailing Address - Street 1:801 W ALGONQUIN RD UNIT 7575
Mailing Address - Street 2:
Mailing Address - City:ALGONQUIN
Mailing Address - State:IL
Mailing Address - Zip Code:60102-1026
Mailing Address - Country:US
Mailing Address - Phone:847-458-4800
Mailing Address - Fax:
Practice Address - Street 1:801 W ALGONQUIN RD UNIT 7575
Practice Address - Street 2:
Practice Address - City:ALGONQUIN
Practice Address - State:IL
Practice Address - Zip Code:60102-1026
Practice Address - Country:US
Practice Address - Phone:847-458-4800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-17
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180008258101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty