Holistic, Re-Education, & Empowering Serices, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LC7042 Issued in MD

Legal business name

HOLISTIC, RE-EDUCATION, & EMPOWERING SERICES, LLC

Practice address

2305 Fairhaven Lane
Crofton, MD 21114

Phone

(202) 540-0718

NPI assigned

Dec 21, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Tracy D Davis, LCPC

Title

Owner, Mental Health Therapist

Phone

(202) 540-0718

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1093250474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 FAIRHAVEN LANE",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "21114",
            "telephone_number": "202-540-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 FAIRHAVEN LANE",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "21114",
            "telephone_number": "202-540-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC, RE-EDUCATION, & EMPOWERING SERICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER, MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "202-540-0718",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "LC7042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell J Hibler, PHD
• Vanneshja Hill-Edwards
• Jane Pruett Hilt, P.T.
• Mary Hodson
• Natalie Hoffman, MS, LCPC
• Jamice Amanda Holley, LGPC
• Tawnya Holmes-Brown
• Athena M Horne, LCSW-C
• Joshua Aaron Horne, DC
• Nnenna Genevieve Ifeamazi

• Community/Behavioral Health Agency in Crofton, MD
• Providers in Crofton, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.