Holistic Integration LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

SW14469 Issued in FL

Legal business name

HOLISTIC INTEGRATION LLC

Practice address

900 NW 8TH Ave
Gainesville, FL 32601-5059

Phone

(813) 534-0270

NPI assigned

Jun 29, 2018

Organization subpart

No

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

Authorized official

Name

Julia JacksonNPI 1215466453

Title

Owner

Phone

(561) 609-8660

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Julia Jackson, LCSW

  • Clinical Social Worker
  • Gainesville, FL
  • NPI 1215466453
  NPD (past) Authorized official

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546732800000",
    "number": "1467947697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 NW 8TH AVE STE H",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326015059",
            "telephone_number": "813-534-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NW 8TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326015059",
            "telephone_number": "813-534-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC INTEGRATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-29",
        "last_updated": "2019-01-06",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-609-8660"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "FL",
            "license": "SW14469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holiday CVS LLC
• Holiday CVS LLC
• Holiday CVS LLC
• Holiday CVS LLC
• Holiday CVS, L.L.C.
• Holistic Therapeutics
• Holistic Therapeutics of Gainesville LLC
• Swathi Holla, MD
• Holland Hall Counseling, LLC
• Ashley Holland

• Adult Mental Health Clinic/Center in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2019; 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.