Healthcare Provider Details
I. General information
NPI: 1477400299
Provider Name (Legal Business Name): HOLISTIC BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/11/2026
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
220 W BASSETT ST
ROCKY MOUNT NC
27803-2903
US
IV. Provider business mailing address
220 W BASSETT ST
ROCKY MOUNT NC
27803-2903
US
V. Phone/Fax
- Phone: 919-949-3791
- Fax: 415-949-3708
- Phone: 919-949-3791
- Fax: 415-949-3708
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
FRANCINA
MICHELLE
STEELE
Title or Position: OWNER
Credential:
Phone: 919-949-3791