Holistic Behavioral Health LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

HOLISTIC BEHAVIORAL HEALTH LLC

Practice address

1821 University Ave W # 205
Saint Paul, MN 55104-2801

Phone

(763) 213-9359

Fax

(651) 780-7216

NPI assigned

Nov 18, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Stella NyakundiNPI 1871227009

Title

Co-Owner

Phone

(763) 213-9359

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Stella Nyaboke Nyakundi

  • Family Nurse Practitioner
  • Minneapolis, MN
  • NPI 1871227009
  NPD Authorized official

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1770308652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W # 205",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042801",
            "telephone_number": "763-213-9359",
            "fax_number": "651-780-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W # 205",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042801",
            "telephone_number": "763-213-9359",
            "fax_number": "651-780-7216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-17",
        "status": "A",
        "authorized_official_last_name": "NYAKUNDI",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "763-213-9359",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara E Holden, MD
• Katherine Grace Holder, MD
• Kaylee Joann Holec
• Janet Holfoth, PA
• Joel S Holger, MD
• Holistic Nursing Corp
• Deidra S Holland, MSOT, ED.D.
• Sharon Joanne Holle, LADC
• Kaitlyn Huebsch Hollenbach, OD, FAAO
• Nora Lyn Hollenkamp, LICSW

• Mental Illness Community Based Residential Treatment Facility in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Mental Illness Community Based Residential Treatment Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.