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General NPI Number Information
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NPI Number | 1669323028
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Entity Type | Organization
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Legal Business Name | HOLOS PSYCHIATRY
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Dates
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Enumeration Date | 02/03/2026
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 429 ROPER MOUNTAIN RD STE 901
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City | GREENVILLE
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State | SC
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Zip | 29615-4254
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Country | US
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Telephone | 864-664-3121
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Fax | 864-860-7532
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Provider Business Mailing Address
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Address Line | 429 ROPER MOUNTAIN RD STE 901
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City | GREENVILLE
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State | SC
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Zip | 29615-4254
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Country | US
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Telephone | 864-664-3121
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Fax | 864-860-7532
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANNAH MICHELE MOORE
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Credential | APRN, PMHNP-BC
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Telephone | 864-664-3121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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