| Holistic Psychiatry Inc | |
|
202 S Pershing St Energy IL 62933 | |
| (618) 942-8645 | |
| (618) 942-8640 |
| Full Name | Holistic Psychiatry Inc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 202 S Pershing St, Energy, Illinois |
| Authorized Official Name and Position | Reno K Ahuja (PRESIDENT) |
| Authorized Official Contact | 6189428645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Psychiatry Inc 202 S Pershing St Po Box 490 Energy IL 62933 Ph: (618) 942-8645 | Holistic Psychiatry Inc 202 S Pershing St Energy IL 62933 Ph: (618) 942-8645 |
| NPI Number | 1285906198 |
|---|---|
| Provider Enumeration Date | 02/08/2012 |
| Last Update Date | 02/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285906198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 036.128348 (Illinois) | Primary |
Illinois Health Care Clinic, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 Corbin Dr, Energy, IL 62933 Phone: 618-922-0398 Fax: 618-942-7931 |