Holistic Haven Therapy LLC

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Legal business name

HOLISTIC HAVEN THERAPY LLC

Practice address

9460 S Orange Blossom TRL
Orlando, FL 32837

Phone

(863) 657-5691

Fax

(518) 977-7100

NPI assigned

Jun 13, 2025

Organization subpart

No

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

Authorized official

Name

Sadia Anjum Mohammadi, REVEREND DR, MA, HP

Title

Manager

Phone

(863) 657-5691

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1326934795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9460 S ORANGE BLOSSOM TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32837",
            "telephone_number": "863-657-5691",
            "fax_number": "518-977-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9460 S ORANGE BLOSSOM TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32837",
            "telephone_number": "863-657-5691",
            "fax_number": "518-977-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC HAVEN THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-06-13",
        "certification_date": "2025-05-24",
        "status": "A",
        "authorized_official_last_name": "MOHAMMADI",
        "authorized_official_first_name": "SADIA",
        "authorized_official_middle_name": "ANJUM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "863-657-5691",
        "authorized_official_credential": "REVEREND DR, MA, HP"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pastoral Counselor in Orlando, FL
• Providers in Orlando, FL by specialty
• Pastoral Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.