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General NPI Number Information
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NPI Number | 1518758887
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Entity Type | Organization
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Legal Business Name | HOLISTIK THERAPY LLC
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 7 ELDORADO CT
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City | ROCHELLE PARK
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State | NJ
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Zip | 07662-3205
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Country | US
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Telephone | 201-218-8383
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Fax |
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Provider Business Mailing Address
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Address Line | 14637 FLAMINGO RD
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City | LOXAHATCHEE GROVES
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State | FL
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Zip | 33470-4633
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Country | US
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Telephone | 201-218-8383
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | SILVIA ALMEIDA
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Credential | LCSW
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Telephone | 201-218-8383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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