NPIMap

Organization Active NPI

Holistics Services Inc

  • Addiction (Substance Use Disorder) Counselor
  • Lumberton, NC
National Provider Identifier
1861766594
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1665 Issued in NC
Legal business name
HOLISTICS SERVICES INC
Practice address
2003 Godwin Ave Ste C
Lumberton, NC 28358-3150
Phone
(910) 739-2477
Fax
(910) 739-2478
NPI assigned
Feb 27, 2012
Last updated
Feb 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Authorized official

Name
Mrs. Kia McLean, OWNER
Title
Ceo
Phone
(910) 739-2477

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1277 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X 1665 NC Primary

Addresses

Primary practice location

2003 Godwin Ave Ste C
Lumberton, NC 28358-3150

Mailing address

2003 Godwin Ave Ste C
Lumberton, NC 28358-3150
Phone (910) 739-2477

Other identifiers 1

IdentifierTypeStateIssuer
6008631MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Holistic Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1861766594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 GODWIN AVE STE C",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583150",
            "telephone_number": "910-739-2477",
            "fax_number": "910-739-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 GODWIN AVE STE C",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583150",
            "telephone_number": "910-739-2477",
            "fax_number": "910-739-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTICS SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "MCLEAN",
        "authorized_official_first_name": "KIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-739-2477",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1277",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6008631",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.