Skyeia Holistic Services, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC1331 Issued in MD

Legal business name

SKYEIA HOLISTIC SERVICES, LLC

Practice address

315 Dawson Ave Ste C
Oakland, MD 21550-5113

Phone

(240) 321-2487

Fax

(301) 334-5922

NPI assigned

Apr 14, 2008

Last updated

Dec 16, 2010By 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

Melisa M Carrico, LCPCNPI 1801912282

Title

Ceo

Phone

(240) 321-2487

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Melisa Marcelle Carrico, LCPC

  • Professional Counselor
  • Oakland, MD
  • NPI 1801912282
  NPD (past) Authorized official

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1356515167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 EAGLE ROCK RD",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215506825",
            "telephone_number": "240-321-2487",
            "fax_number": "301-334-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 DAWSON AVE STE C",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215505113",
            "telephone_number": "240-321-2487",
            "fax_number": "301-334-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYEIA HOLISTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "CARRICO",
        "authorized_official_first_name": "MELISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-321-2487",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC1331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012466400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Silverman, MD
• Catessa L Simon, MS, RD, LD
• Angela Sisler, LCSW-C
• Stephanie Brook Sisler, M.D.
• Robbin Skipper
• Renea Slaughter, LCSW
• McKinzi P Smith
• Rachel Smith, DC
• Michele Marie Snyder, MS, CCC, SLP
• Southern Garrett County Rescue Squad Inc

• Mental Health Counselor in Oakland, MD
• Providers in Oakland, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; 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.