MEDICARE: HOLISTIC BEHAVIORAL HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1457103103
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLISTIC BEHAVIORAL HEALTH LLC

Provider Business Mailing Address
First Line	:	101 LONG PASS CT
Second Line	:
City	:	LAKE SAINT LOUIS
State	:	MO
Zip	:	63367-5051
Country	:	US
Telephone Number	:	314-600-5221
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 LONG PASS CT
Second Line	:
City	:	LAKE SAINT LOUIS
State	:	MO
Zip	:	63367-5051
Country	:	US
Telephone Number	:	314-600-5221
Fax Number	:

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	ORNELA CLAUDE IKA
Credential	:	APRN-NP
Telephone Number	:	314-600-5221

Provider Enumeration Date	:	04/04/2024
Last Update Date	:	04/04/2024

Similar Medicare Providers

1770589277 — MRI RADIOLOGY NETWORK PA
Practice Location Address:

5051 S CONGRESS AVE
LAKE WORTH, FL
33461-4704

Practice Phone: 561-361-9191
Practice Fax: 561-394-5674

1629406293 — INDEPENDENT IMAGING, LLC
Practice Location Address:

5051 S CONGRESS AVE
LAKE WORTH, FL
33461-4704

Practice Phone: 561-795-5558
Practice Fax: 561-792-7300

1922461292 — TERESA LESHAWN MORTON
Practice Location Address:

5051 BOA CIR
LAKE WORTH, FL
33463-1501

Practice Phone: 561-275-9123
Practice Fax:

1619565389 — ELITE SENIOR TRANSPORTATION LLC
Practice Location Address:

3994 VILLA LAKE RD
POWDER SPRINGS, GA
30127-5051

Practice Phone: 850-688-6761
Practice Fax:

1669121760 — EMPOWERED PATHWAYS LLC
Practice Location Address:

3994 VILLA LAKE RD
POWDER SPRINGS, GA
30127-5051

Practice Phone: 470-837-0175
Practice Fax:

1528744778 — JEAN-MARIE SCHWEIZER LPC, NCC, MDIV
Practice Location Address:

5051 TRAIL LAKE DR
FORT WORTH, TX
76133-2045

Practice Phone: 817-423-2970
Practice Fax:

Directions to “HOLISTIC BEHAVIORAL HEALTH LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.