Organization Active NPI

Holistically You Therapeutic Services, LLC

  • Mental Health Counselor
  • Woodbridge, VA
National Provider Identifier
1366043671
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HOLISTICALLY YOU THERAPEUTIC SERVICES, LLC
Practice address
2227 Old Bridge Rd Unit 221
Woodbridge, VA 22192-3007
Phone
(703) 774-6542
NPI assigned
Nov 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Authorized official

Name
Jo Ann McMillan Harris, LCSWNPI 1891305926
Title
Owner/Manager
Phone
(703) 774-6542

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2227 Old Bridge Rd Unit 221
Woodbridge, VA 22192-3007

Mailing address

2227 Old Bridge Rd Unit 221
Woodbridge, VA 22192-3007
Phone (703) 774-6542

National Provider Directory

National Provider Directory

Locations

2227 Old Bridge Rd
Woodbridge, VA 22192
Phone (571) 412-3500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1366043671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 OLD BRIDGE RD UNIT 221",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221923007",
            "telephone_number": "703-774-6542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2227 OLD BRIDGE RD UNIT 221",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221923007",
            "telephone_number": "703-774-6542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTICALLY YOU THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JO ANN",
        "authorized_official_middle_name": "MCMILLAN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "703-774-6542",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.