Provider Demographics
NPI:1427773571
Name:HOLISTIC PSYCH CARE & INTEGRATIVE WELLNESS LLC
Entity type:Organization
Organization Name:HOLISTIC PSYCH CARE & INTEGRATIVE WELLNESS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:SALINGER
Authorized Official - Suffix:
Authorized Official - Credentials:FNP, PMHNP, AHN,APRN
Authorized Official - Phone:888-310-1808
Mailing Address - Street 1:1011 SURREY LANE
Mailing Address - Street 2:BLDG 200
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75022
Mailing Address - Country:US
Mailing Address - Phone:888-310-1808
Mailing Address - Fax:415-727-9222
Practice Address - Street 1:4040 CIVIC CENTER DR STE 200
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94903-4187
Practice Address - Country:US
Practice Address - Phone:415-797-7443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-10
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)