Provider Demographics
NPI:1669340907
Name:HOLISTIC HEALING COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:HOLISTIC HEALING COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LEEKS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:678-674-8835
Mailing Address - Street 1:1440 MOUNT ZION RD
Mailing Address - Street 2:
Mailing Address - City:MORROW
Mailing Address - State:GA
Mailing Address - Zip Code:30260-2318
Mailing Address - Country:US
Mailing Address - Phone:678-674-8835
Mailing Address - Fax:
Practice Address - Street 1:5237 HALCYON CT
Practice Address - Street 2:
Practice Address - City:MORROW
Practice Address - State:GA
Practice Address - Zip Code:30260-3106
Practice Address - Country:US
Practice Address - Phone:678-674-8835
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-28
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty