Holistic Therapist LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

HOLISTIC THERAPIST LLC

Practice address

100 E New York Ave Ste 103
Deland, FL 32724-5576

Phone

(352) 234-3804

Fax

(352) 329-4340

NPI assigned

Oct 27, 2026

Last updated

Oct 27, 2026By 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

Mary Mae Abigail Wilson, LCSWNPI 1952680860

Title

Ceo

Phone

(352) 234-3804

Specialties & licenses 1

Addresses

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.

• Mary Mae Abigail Wilson, LCSW

  • Clinical Social Worker
  • Deland, FL
  • NPI 1952680860
  Authorized official Same address or phone

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

{
    "created_epoch": "1793059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793059200000",
    "number": "1528966033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E NEW YORK AVE STE 103",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327245576",
            "telephone_number": "352-234-3804",
            "fax_number": "352-329-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E NEW YORK AVE STE 103",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327245576",
            "telephone_number": "352-234-3804",
            "fax_number": "352-329-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC THERAPIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-27",
        "last_updated": "2026-10-27",
        "certification_date": "2026-10-27",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "MAE ABIGAIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-234-3804",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Hoblick, PA-C
• Nicole Hodges, DC
• Katie Jo Hoehn, PHARM.D.
• Holiday CVS LLC (CVS Pharmacy 00214)
• Holiday CVS LLC (CVS Pharmacy 03673)
• Paul D Holland, PT
• Mark W Hollmann, MD
• Michele Ashley Holloway, BA, LMT
• Hometown Hearing Centers
• Hometown Hearing Corp

• Mental Health Clinic/Center (Including Community Mental Health Center) in Deland, FL
• Providers in Deland, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.