Holistic Integrative Counseling Services

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

HOLISTIC INTEGRATIVE COUNSELING SERVICES

Practice address

1317 Edgewater Dr # 1707
Orlando, FL 32804-6350

Phone

(651) 307-7652

Fax

(407) 264-6834

NPI assigned

Jul 10, 2020

Last updated

Mar 29, 2021By 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

Teresa Irene Bobo, PSY.D.NPI 1437695202

Title

Ceo/Clinical Psychologist

Phone

(407) 276-0279

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Teresa Irene Bobo

  • Health Psychologist
  • Bay Pines, FL
  • NPI 1437695202
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1477171965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 EDGEWATER DR # 1707",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046350",
            "telephone_number": "651-307-7652",
            "fax_number": "407-264-6834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 EDGEWATER DR # 1707",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046350",
            "telephone_number": "651-307-7652",
            "fax_number": "407-264-6834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC INTEGRATIVE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-10",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "BOBO",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "CEO/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "407-276-0279",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holistic Behavior Therapy LLC
• Holistic Counseling Group, LLC
• Holistic Family Care LLC
• Holistic Haven Therapy LLC
• Holistic Health (Everlasting Clinic)
• Holistic Mental Wellness, LLC
• Brittany Renee Holland
• Jessica Anzevino Holland, PA-C
• Kevan Michael Holland
• Matthew Holland, CRNA

• Adult Mental Health Clinic/Center in Orlando, FL
• Providers in Orlando, 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 Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.