Active NPI
Antara Holistic Healing, Inc.
- Mental Health Counselor
- Raleigh, NC
National Provider Identifier
1699096222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- ANTARA HOLISTIC HEALING, INC.
- Practice address
- 113 East Six Forks Road
Raleigh, NC 27609-7743 - Phone
- (919) 222-1857
- NPI assigned
- Jun 17, 2010
- Last updated
- Jun 17, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dolan D Williams, MSW, LCSW
- Title
- Clinical Director
- Phone
- (919) 222-1857
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
113 East Six Forks Road
Raleigh, NC 27609-7743
Mailing address
113 East Six Forks Road
Raleigh, NC 27609-7743
Phone (919) 222-1857
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Clinical Social Worker
- Wilson, NC
- NPI 1861558322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276732800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276732800000",
"number": "1699096222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 EAST SIX FORKS ROAD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097743",
"telephone_number": "919-222-1857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 EAST SIX FORKS ROAD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097743",
"telephone_number": "919-222-1857"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANTARA HOLISTIC HEALING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-17",
"last_updated": "2010-06-17",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "DOLAN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "919-222-1857",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MSW, LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.