Holistic Mental Wellness Center LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HOLISTIC MENTAL WELLNESS CENTER LLC

Practice address

519 E Indian Spring Dr
Silver Spring, MD 20901-4726

Phone

(240) 476-6676

NPI assigned

Jul 26, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Miraf Kebede, SOCIAL WORKER, LICSWNPI 1003498817

Title

Mental Health Therapist

Phone

(240) 476-6676

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 1

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

• Miraf Kebede Sr.

  • Clinical Social Worker
  • Silver Spring, MD
  • NPI 1003498817

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1487483715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 E INDIAN SPRING DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014726",
            "telephone_number": "240-476-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 E INDIAN SPRING DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014726",
            "telephone_number": "240-476-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC MENTAL WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "KEBEDE",
        "authorized_official_first_name": "MIRAF",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "240-476-6676",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "SOCIAL WORKER, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn Hogan, PH D
• Allison Murphy Hoke, LGPC
• Pamela Holden, LCSW-C
• Hugh Michael Holder, MD
• Holistic Medical Services, LLC
• India Holland
• Kristine Holland, LGPC
• Holley and Associates Inc.
• Leslie D Holley, LCPC, LPC
• Richard James Holley

• Clinical Social Worker in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.