=====================================================
General NPI Number Information
=====================================================
NPI Number | 1083208367
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HOLISTIC HEALING COUNSELING, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/26/2021
-----------------------------------------------------
Last Update Date | 11/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 603 N WEST ST
-----------------------------------------------------
City | CARROLL
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 51401-2346
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 712-775-2501
-----------------------------------------------------
Fax | 712-775-2502
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 603 N WEST ST
-----------------------------------------------------
City | CARROLL
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 51401-2346
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 712-775-2501
-----------------------------------------------------
Fax | 712-775-2502
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | NIM KNOBBE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 712-830-5672
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 261QM1300X
-----------------------------------------------------
Taxonomy Name | Multi-Specialty Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------