Healthcare Provider Details

I. General information

NPI: 1962326280
Provider Name (Legal Business Name): A HOLISTIC APPROACH PSYCHIATRIC CARE P.L.L.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 BARNARD LN
BLOOMFIELD CT
06002-2452
US

IV. Provider business mailing address

3 BARNARD LN
BLOOMFIELD CT
06002-2452
US

V. Phone/Fax

Practice location:
  • Phone: 959-225-0993
  • Fax:
Mailing address:
  • Phone: 959-225-0993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: TONYA DAVIS
Title or Position: OWNER
Credential: APRN
Phone: 959-225-0993