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General NPI Number Information
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NPI Number | 1275328460
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Entity Type | Organization
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Legal Business Name | HOLISTICS LTD. CO
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Dates
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Enumeration Date | 04/10/2025
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 3632 HIGHLANDS PKWY SE
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City | SMYRNA
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State | GA
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Zip | 30082-5184
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Country | US
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Telephone | 678-855-7708
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Fax |
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Provider Business Mailing Address
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Address Line | 333 NELSON ST SW UNIT 210
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City | ATLANTA
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State | GA
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Zip | 30313-1304
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Country | US
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Telephone | 678-855-7708
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. SHANA ASHBY JONES
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Credential |
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Telephone | 678-855-7708
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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