Supportive Hands Healing Minds, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SUPPORTIVE HANDS HEALING MINDS, LLC

Practice address

136 W Grand Ave Ste 301
Beloit, WI 53511-6259

Phone

(608) 346-8315

NPI assigned

Jan 12, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Kristin Hope Holub, LPC-IT

Title

Owner

Phone

(608) 774-5560

Specialties & licenses 1

Addresses

Other names 1

• Beloit Psychotherapy and Counseling, LLC Former legal business name

Locations

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1760196885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 W GRAND AVE STE 301",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535116259",
            "telephone_number": "608-346-8315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 W GRAND AVE STE 301",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535116259",
            "telephone_number": "608-346-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE HANDS HEALING MINDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "HOLUB",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "HOPE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-774-5560",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC-IT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beloit Psychotherapy and Counseling, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Rayna Strong, DDS
• Michelle Stroud
• Gregory Stubbe
• Rachelle M. Suchla, OT
• Courtney Sumida, DNP, AGPCNP-BC, CSFA
• Ruth C. Taggart, NP
• Hajera Fatima Taher, M.D.
• Janna Sue Tamminga, PT
• Glenn Anthony Tan, M.D.
• Tannleger As Oral and Maxillofacial Surgery SC

• Professional Counselor in Beloit, WI
• Providers in Beloit, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.