Organization Active NPI

Holistic Services LLC

  • Community/Behavioral Health Agency
  • Fayetteville, NC
National Provider Identifier
1407215650
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HOLISTIC SERVICES LLC
Practice address
3005 Scotty Hill Rd
Fayetteville, NC 28303-3915
Phone
(910) 729-5380
NPI assigned
Feb 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Authorized official

Name
Terri Lorraine Rose, CSAC
Title
Owner
Phone
(910) 729-5380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3005 Scotty Hill Rd
Fayetteville, NC 28303-3915

Mailing address

3005 Scotty Hill Rd
Fayetteville, NC 28303-3915
Phone (910) 729-5380

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1407215650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 SCOTTY HILL RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283033915",
            "telephone_number": "910-729-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 SCOTTY HILL RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283033915",
            "telephone_number": "910-729-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-729-5380",
        "authorized_official_credential": "CSAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.