Organization Active NPI

Holistic Counseling & Consultation, PLLC

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1134532823
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P008754 Issued in NC
Legal business name
HOLISTIC COUNSELING & CONSULTATION, PLLC
Practice address
2750 E WT Harris Blvd
2ND Floor
Charlotte, NC 28213-4285
Phone
(888) 502-9591
NPI assigned
Jun 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Authorized official

Name
Teal Peoples, LCSW, LCAS, CCSA
Title
Owner/Clinical Director
Phone
(888) 502-9591

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X P008754 NC Primary
School Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041S0200X P008754 NC

Addresses

Primary practice location

2750 E WT Harris Blvd
2ND Floor
Charlotte, NC 28213-4285

Mailing address

PO Box 681212
Charlotte, NC 28216-0022

National Provider Directory

National Provider Directory
Tax ID family
Holistic Counseling Consultation PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2750 E Wt Harris Blvd
Fl 2
Charlotte, NC 28213
Phone (888) 502-9591

NPI Registry JSON

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1134532823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681212",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282160022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 E WT HARRIS BLVD",
            "address_2": "2ND FLOOR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134285",
            "telephone_number": "888-502-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC COUNSELING & CONSULTATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "PEOPLES",
        "authorized_official_first_name": "TEAL",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "888-502-9591",
        "authorized_official_credential": "LCSW, LCAS, CCSA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P008754",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, School",
            "state": "NC",
            "license": "P008754",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.