Healthcare Provider Details
I. General information
NPI: 1326832809
Provider Name (Legal Business Name): HOLRITE ALCY
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/08/2025
Last Update Date: 03/14/2026
Certification Date: 03/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6901 OKEECHOBEE BLVD STE D5
WEST PALM BEACH FL
33411-2517
US
IV. Provider business mailing address
224 WOODLAND RD
PALM SPRINGS FL
33461-1011
US
V. Phone/Fax
- Phone: 954-648-4889
- Fax:
- Phone: 954-648-4889
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | 11038790 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: