| Holistic Mental Health Inc | |
|
2211 Todds Lane Hampton VA 23666 | |
| (757) 826-2514 | |
| (757) 826-5560 |
| Full Name | Holistic Mental Health Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2211 Todds Lane, Hampton, Virginia |
| Authorized Official Name and Position | Clara Elizabeth Ewing (DIRECTOR PRESIDENT HOLISTIC MENTAL) |
| Authorized Official Contact | 7578262514 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Mental Health Inc Po Box 8084 Hampton VA 23666 Ph: (757) 826-2514 | Holistic Mental Health Inc 2211 Todds Lane Hampton VA 23666 Ph: (757) 826-2514 |
| NPI Number | 1831151463 |
|---|---|
| Provider Enumeration Date | 04/06/2006 |
| Last Update Date | 04/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831151463 | NPI | - | NPPES |
| 5400261 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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