Provider Demographics
NPI: | 1215515101 |
---|---|
Name: | HOLISTIC APPROACH TO MENTAL HEALTH, LLC |
Entity type: | Organization |
Organization Name: | HOLISTIC APPROACH TO MENTAL HEALTH, LLC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | CEO/OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | LEAH |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | ONDIEK |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 469-441-8818 |
Mailing Address - Street 1: | 404 E BROAD ST STE 600 |
Mailing Address - Street 2: | |
Mailing Address - City: | MANSFIELD |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 76063-1743 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 682-414-2628 |
Mailing Address - Fax: | 682-324-0616 |
Practice Address - Street 1: | 404 E BROAD ST STE 600 |
Practice Address - Street 2: | |
Practice Address - City: | MANSFIELD |
Practice Address - State: | TX |
Practice Address - Zip Code: | 76063-1743 |
Practice Address - Country: | US |
Practice Address - Phone: | 682-414-2628 |
Practice Address - Fax: | 682-324-0616 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2021-03-31 |
Last Update Date: | 2022-06-02 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | Professional | Group - Multi-Specialty |
No | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
No | 103G00000X | Behavioral Health & Social Service Providers | Clinical Neuropsychologist | Group - Multi-Specialty | |
No | 104100000X | Behavioral Health & Social Service Providers | Social Worker | Group - Multi-Specialty | |
No | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | Group - Multi-Specialty | |
No | 133N00000X | Dietary & Nutritional Service Providers | Nutritionist | Group - Multi-Specialty | |
No | 163WC0400X | Nursing Service Providers | Registered Nurse | Case Management | Group - Multi-Specialty |
No | 163WP0808X | Nursing Service Providers | Registered Nurse | Psychiatric/Mental Health | Group - Multi-Specialty |
No | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | Group - Multi-Specialty | |
No | 225700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Massage Therapist | Group - Multi-Specialty | |
No | 363LC1500X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Community Health | Group - Multi-Specialty |
No | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psychiatric/Mental Health | Group - Multi-Specialty |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
TX | 822716194 | Other | IRS |