Provider Demographics
NPI:1346086790
Name:HOLISTIC AND COMPASSIONATE CARE MENTAL HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:HOLISTIC AND COMPASSIONATE CARE MENTAL HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAMIM
Authorized Official - Middle Name:
Authorized Official - Last Name:NAMAKULA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-229-2748
Mailing Address - Street 1:18905 E 66TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80249-7390
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:18601 GREEN VALLEY RANCH BLVD UNIT 108
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80249-8371
Practice Address - Country:US
Practice Address - Phone:720-229-2748
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-05
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty