| Holistic Therapeutics | |
|
608 Jackson St Ste 214 Roanoke Rapids NC 27870-2600 | |
| (252) 308-4797 | |
| Not Available |
| Full Name | Holistic Therapeutics |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 608 Jackson St Ste 214, Roanoke Rapids, North Carolina |
| Authorized Official Name and Position | Keara Goode (CEO& LEAD PRACTITIONER) |
| Authorized Official Contact | 2523084797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Therapeutics 608 Jackson St Ste 214 Roanoke Rapids NC 27870-2600 Ph: (252) 308-4797 | Holistic Therapeutics 608 Jackson St Ste 214 Roanoke Rapids NC 27870-2600 Ph: (252) 308-4797 |
| NPI Number | 1255023172 |
|---|---|
| Provider Enumeration Date | 05/22/2023 |
| Last Update Date | 05/22/2023 |
| Certification Date | 05/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255023172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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