Provider Demographics
NPI:1346042348
Name:HOLISTIC INTERNATIONAL MINISTRIES (DBA, HIM.,INC.)
Entity type:Organization
Organization Name:HOLISTIC INTERNATIONAL MINISTRIES (DBA, HIM.,INC.)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO-FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:PAIGE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:470-900-7361
Mailing Address - Street 1:1015 TYRONE RD STE 420
Mailing Address - Street 2:
Mailing Address - City:TYRONE
Mailing Address - State:GA
Mailing Address - Zip Code:30290-2456
Mailing Address - Country:US
Mailing Address - Phone:470-900-7361
Mailing Address - Fax:
Practice Address - Street 1:1015 TYRONE RD STE 420
Practice Address - Street 2:
Practice Address - City:TYRONE
Practice Address - State:GA
Practice Address - Zip Code:30290-2456
Practice Address - Country:US
Practice Address - Phone:470-900-7361
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth ServiceGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GALPC01234OtherLPC