21St Century Holistic Health, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

21ST CENTURY HOLISTIC HEALTH, LLC

Practice address

5009 N Main St
Houston, TX 77009-3620

Phone

(713) 402-8970

NPI assigned

Jan 29, 2011

Last updated

Jan 29, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Tracie Lyn Hammelman, LCSWNPI 1972687739

Title

Owner

Phone

(713) 402-8970

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tracie Hammelman, M.S.W.

  • Clinical Social Worker
  • Galveston, TX
  • NPI 1972687739
  Authorized official Same address or phone

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

{
    "created_epoch": "1296259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296259200000",
    "number": "1326344953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 N MAIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770093620",
            "telephone_number": "713-402-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 N MAIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770093620",
            "telephone_number": "713-402-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "21ST CENTURY HOLISTIC HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-29",
        "last_updated": "2011-01-29",
        "status": "A",
        "authorized_official_last_name": "HAMMELMAN",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-402-8970",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Houston, TX
• Providers in Houston, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2011; 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.