Holistic Behavioral Healthcare LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

HOLISTIC BEHAVIORAL HEALTHCARE LLC

Practice address

1721 Broad St
Selma, AL 36701-4116

Phone

(513) 238-0267

NPI assigned

Jul 19, 2023

Last updated

Jul 19, 2023By 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

Carine Djuidje, NPNPI 1063034320

Title

Managing Onwer

Phone

(513) 238-0267

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

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.

• Carine Laure Djuidje, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Montgomery, AL
  • NPI 1063034320
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1811677438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 BROAD ST",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367014116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 BROAD ST",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367014116",
            "telephone_number": "513-238-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC BEHAVIORAL HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "DJUIDJE",
        "authorized_official_first_name": "CARINE",
        "authorized_official_title_or_position": "MANAGING ONWER",
        "authorized_official_telephone_number": "513-238-0267",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Herrington, RKT
• Phillip Hicks, MD
• Jennifer Hightower, CRNP
• David W Hodo, MD
• Daniel Hoke
• Homestead Hospice of Cahaba
• Homestead Hospice of Cahaba, LLC (Traditions Health)
• Iverson B Hopson III
• Lateshia Rochelle Horton
• Hospice Complete, Inc (Hospice Complete - Selma)

• Psychiatric/Mental Health Nurse Practitioner in Selma, AL
• Providers in Selma, AL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.