HOLISTICS SERVICES INC (NPI# 1861766594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861766594 |
| Entity Type | Organization |
| Organization Name | HOLISTICS SERVICES INC |
| Practice Address |
2003 Godwin Ave Ste C Lumberton NC 28358-3150 |
| Practice Telephone | 9107392477 |
| Practice Fax Number | 9107392478 |
| Mailing Telephone | 9107392477 |
| Mailing Fax Number | 9107392478 |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2012-02-27 |
| Authorized Official Name | MRS. KIA MCLEAN (CEO) |
| Authorized Official Telephone | 9107392477 |
| Authorized Official Credential | OWNER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1277 | NC | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1665 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6008631 | 05 |
| Street Address |
2003 GODWIN AVE STE C |
| City | LUMBERTON |
| State | NC |
| Zip Code | 28358-3150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952540015 | New Life Services Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2003 Godwin Ave Ste C, Lumberton, NC 28358-3197 | 2009-02-13 |
| 1013405356 | Samantha Tyler Moore | Counselor | 2003 Godwin Ave Ste C, Lumberton, NC 28358-3150 | 2018-04-23 |
| 1558625228 | Markisha Moore | Social Worker | 2003 Godwin Ave Ste C, Lumberton, NC 28358-3150 | 2012-06-27 |
| 1710252879 | Holistic Services Inc. | Community/Behavioral Health | 2003 Godwin Ave Ste C, Lumberton, NC 28358-3150 | 2012-03-21 |
| 1134431182 | Robeson Behavioral Health PC | Community/Behavioral Health | 2003 Godwin Ave Ste C, Lumberton, NC 28358-3150 | 2010-07-07 |
| 1366777286 | New Life Services, Inc | Community/Behavioral Health | 2003 Godwin Ave Ste C, Lumberton, NC 28358 | 2009-10-09 |
| 1205076973 | New Life Services Inc. | Substance Abuse Rehabilitation Facility | 2003 Godwin Ave Ste C, Lumberton, NC 28358-3197 | 2009-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649812397 | Monarch | Community/Behavioral Health | 13128 Serenity Street, Huntersville, NC 28358 | 2019-10-15 |
| 1114577194 | Lashonda Patrice Bostic | Social Worker | 4719 Fayetteville Road, Lumberton, NC 28358 | 2019-09-12 |
| 1780232389 | Rosaline Whittington | Technician | 39 Sibley Road, Lumberton, NC 28358 | 2019-08-28 |
| 1790343168 | Emily Graham | Social Worker | 401 S. 27th Street, Lumberton, NC 28358 | 2019-05-31 |
| 1316420722 | Karen Lynn Warwick | Nurse Practitioner | 600 Farringdom St # Ab, Lumberton, NC 28358 | 2018-09-11 |
| 1982184149 | Virginia Feldick Hampton | Speech-Language Pathologist | Coastal Therapy Partners, 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-08-17 |
| 1366941882 | Ashlynn Faircloth Mckeithan | Occupational Therapist | 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-02-10 |
| 1992153506 | Matthew Mercer | Nurse Anesthetist, Certified Registered | 2703 Riverwood Ave, Lumberton, NC 28358 | 2016-05-25 |
| 1295100964 | Chosen Health Care Services Inc | In Home Supportive Care | 705b Wesley Pines Road, Lumberton, NC 28358 | 2015-12-07 |
| 1346626173 | Brittany Renea Chavis | Social Worker | 888 Wire Grass Road, Lumberton, NC 28358 | 2015-08-04 |
| Find all providers in zip 28358 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841763935 | Ebone' Jane't Rouse | Counselor | 3460 Capuano Rd, Lumberton, NC 28358-3478 | 2019-01-10 |
| 1689114191 | Neketa Floyd | Counselor | 3531 Lacky Street, Lumberton, NC 28360 | 2017-03-02 |
| 1205205739 | Carla Monds | Counselor | 901 N Chestnut St, Lumberton, NC 28358-4853 | 2015-09-15 |
| 1447641758 | Stephanie Sanderson | Counselor | 448 Saddletree Rd, Lumberton, NC 28360-9301 | 2015-02-09 |
| 1245634450 | Yvonne Handy | Counselor | 392 Hearty Rd, Lumberton, NC 28358-8602 | 2014-10-17 |
| 1649601824 | Sherri Annette Wood | Counselor | 6005 Crockett, Lumberton, Lumberton, TX 77657-6703 | 2013-12-12 |
| 1346586971 | Kevin Eugene Graham | Counselor | 117 Charles St, Lumberton, NC 28358-4538 | 2012-12-31 |
| 1679837405 | Yolanda N Lewis | Counselor | 2003 Godwin Ave Ste A, Lumberton, NC 28358-3150 | 2012-06-26 |
| 1558688317 | Jessica Mceachern | Counselor | 288 Deer Stand Dr, Lumberton, NC 28358-8345 | 2010-05-03 |
| 1194995472 | Shirley Ann Williams | Counselor | 3750 Meadowview Road Apt A-1, Lumberton, NC 28358 | 2008-03-03 |
| Find all providers in LUMBERTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.