The Holistic Mental Health Clinic

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

THE HOLISTIC MENTAL HEALTH CLINIC

Practice address

6161 Dr MLK Jr St N
Ste 204
Saint Petersburg, FL 33703

Phone

(727) 520-9447

Fax

(727) 520-9444

NPI assigned

Aug 17, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. George W Nelson Jr., CFO

Title

Chief Financial Officer

Phone

(727) 599-1292

Specialties & licenses 2

Addresses

Other names 1

• The Holistic Mental Health Clinic Former legal business name

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brittanie Nicole White, RCSWI

  • Clinical Social Worker
  • St Petersburg, FL
  • NPI 1528836442
  NPD
• Lynn Bonner-Nelson, LMHC, CRC

  • Mental Health Counselor
  • Saint Petersburg, FL
  • NPI 1437435237
  NPD (past)
• Kelly Venuti, LMHC

  • Mental Health Counselor
  • Saint Petersburg, FL
  • NPI 1235330473
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1073396594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 DR MLK JR ST N",
            "address_2": "STE 204",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "33703",
            "telephone_number": "727-520-9447",
            "fax_number": "727-520-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 DR MLK JR ST N",
            "address_2": "STE 204",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "33703",
            "telephone_number": "727-520-9447",
            "fax_number": "727-520-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HOLISTIC MENTAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "727-599-1292",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Holistic Mental Health Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Adult Mental Health Clinic/Center in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.