Healthcare Provider Details

I. General information

NPI: 1841115599
Provider Name (Legal Business Name): HOLISTIC THERAPY SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

896 CEDAR TRAIL AVE
ZACHARY LA
70791-8203
US

IV. Provider business mailing address

896 CEDAR TRAIL AVE
ZACHARY LA
70791-8203
US

V. Phone/Fax

Practice location:
  • Phone: 225-283-5044
  • Fax:
Mailing address:
  • Phone: 225-283-5044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN JEFFERSON
Title or Position: OWNER
Credential: JEFFERSON
Phone: 225-283-5044