Holisticare South LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

HOLISTICARE SOUTH LLC

Practice address

4370 Georgetown Square
Atlanta, GA 30338

Phone

(770) 457-4677

Fax

(678) 514-2104

NPI assigned

Jun 20, 2007

Last updated

Aug 22, 2020By 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

Ms. Peggy A Mosier

Title

Director Cbo

Phone

(770) 457-4677

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.

• Susan Elizabeth Kolb, M.D.

  • Plastic Surgery Physician
  • Atlanta, GA
  • NPI 1942291455
  NPD (past)

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538364286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4370 GEORGETOWN SQUARE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30338",
            "telephone_number": "770-457-4677",
            "fax_number": "678-514-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 GEORGETOWN SQUARE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30338",
            "telephone_number": "770-457-4677",
            "fax_number": "678-514-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTICARE SOUTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOSIER",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR CBO",
        "authorized_official_telephone_number": "770-457-4677",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holistic Haven Counseling LLC
• Holistic Health and Community Services Inc
• Holistic Occupational and Physical Therapy LLC
• Holistic Speech and Feeding Therapy
• Holistic Therapeutic Counseling, LLC
• Jennifer Samples Holl, M.D.
• Nadya Hollahan, PH.D.
• Antoinette Holland, MD
• Brantley Davison Holland
• Brittany Holland, LMSW

• Multi-Specialty Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Multi-Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.