Healthcare Provider Details

I. General information

NPI: 1538787098
Provider Name (Legal Business Name): HOLISTIC PRIMARY CARE & BEHAVIORAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2020
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

199 6TH AVE # B-5
MOUNT LAUREL NJ
08054-9749
US

IV. Provider business mailing address

199 6TH AVE # B-5
MOUNT LAUREL NJ
08054-9749
US

V. Phone/Fax

Practice location:
  • Phone: 856-329-0784
  • Fax: 856-329-0785
Mailing address:
  • Phone: 856-329-0784
  • Fax: 856-329-0785

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: SYLVIE FELIX
Title or Position: PSYCHIATRIC-MENTAL HEALTH NURSE PRA
Credential: FNP-BC, PMHNP-BC
Phone: 973-932-6264