Organization Active NPI

Holistic Mental Wellness, LLC

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1376853739
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH9810 Issued in FL
Legal business name
HOLISTIC MENTAL WELLNESS, LLC
Practice address
2295 S Hiawassee Rd
Suite 201-H
Orlando, FL 32835-8746
Phone
(407) 222-5968
NPI assigned
Oct 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Authorized official

Name
Mr. Tracy Sabas Ramos, LMHC
Title
Owner
Phone
(407) 222-5968

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MH9810 FL Primary

Addresses

Primary practice location

2295 S Hiawassee Rd
Suite 201-H
Orlando, FL 32835-8746

Mailing address

1168 Crispwood CT
Apopka, FL 32703-7464
Phone (407) 222-5968

National Provider Directory

National Provider Directory

Locations

2295 S Hiawassee Rd
Ste 201H
Orlando, FL 32835
Phone (407) 222-5968

NPI Registry JSON

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1376853739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1168 CRISPWOOD CT",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327037464",
            "telephone_number": "407-222-5968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 S HIAWASSEE RD",
            "address_2": "SUITE 201-H",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328358746",
            "telephone_number": "407-222-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC MENTAL WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "SABAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-222-5968",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.