Organization Active NPI

Holistic Therapy Center, LLC

  • Community/Behavioral Health Agency
  • Hilo, HI
National Provider Identifier
1851077457
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HOLISTIC THERAPY CENTER, LLC
Practice address
305 Wailuku Dr Ste 3
Hilo, HI 96720-2488
Phone
(831) 238-6326
Fax
(877) 897-6124
NPI assigned
Jun 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Authorized official

Name
Dr. Elizabeth A McCloud, PSY.D.NPI 1760040844
Title
Owner/Manager
Phone
(831) 238-6326

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

305 Wailuku Dr Ste 3
Hilo, HI 96720-2488

Mailing address

154 Waianuenue Ave # 11425
Hilo, HI 96720-2491
Phone (831) 238-6326

National Provider Directory

National Provider Directory

Locations

154 Waianuenue Ave
#11425
Hilo, HI 96720

226 E Main St
Ste C
Senatobia, MS 38668
Phone (662) 503-7384

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1851077457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 WAIANUENUE AVE # 11425",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202491",
            "telephone_number": "831-238-6326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 WAILUKU DR STE 3",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202488",
            "telephone_number": "831-238-6326",
            "fax_number": "877-897-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "MCCLOUD",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "831-238-6326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.