Provider Demographics
NPI:1215746052
Name:HOLISTIC BEHAVIORAL & PSYCHOLOGICAL SERVICES, CORP.
Entity type:Organization
Organization Name:HOLISTIC BEHAVIORAL & PSYCHOLOGICAL SERVICES, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ELENA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:602-292-4680
Mailing Address - Street 1:10565 N 114TH ST STE 107
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85259-4942
Mailing Address - Country:US
Mailing Address - Phone:480-256-9596
Mailing Address - Fax:480-716-4020
Practice Address - Street 1:10565 N 114TH ST STE 107
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85259-4942
Practice Address - Country:US
Practice Address - Phone:480-256-9596
Practice Address - Fax:480-716-4020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child