Provider Demographics
NPI:1881424067
Name:BEHAVIORAL HOLISTIC HEALTH SERVICES,LLC
Entity type:Organization
Organization Name:BEHAVIORAL HOLISTIC HEALTH SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LADC,CCS
Authorized Official - Phone:207-838-0146
Mailing Address - Street 1:PO BOX 2850
Mailing Address - Street 2:
Mailing Address - City:WATERVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04903-2850
Mailing Address - Country:US
Mailing Address - Phone:207-838-0146
Mailing Address - Fax:207-621-6776
Practice Address - Street 1:136 STATE ST
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-7416
Practice Address - Country:US
Practice Address - Phone:207-838-0146
Practice Address - Fax:207-621-6776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-03
Last Update Date:2024-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty