Provider Demographics
NPI:1306669601
Name:ISLAND HOLISTIC COUNSELING LLC
Entity type:Organization
Organization Name:ISLAND HOLISTIC COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:KATHERINE
Authorized Official - Last Name:SWIFT
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:617-257-5951
Mailing Address - Street 1:104 GOLDENROD DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02842-7225
Mailing Address - Country:US
Mailing Address - Phone:617-257-5951
Mailing Address - Fax:
Practice Address - Street 1:104 GOLDENROD DR
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:RI
Practice Address - Zip Code:02842-7225
Practice Address - Country:US
Practice Address - Phone:617-257-5951
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-05
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty