Holistic Psychological Associates, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5508 Issued in SC

Legal business name

HOLISTIC PSYCHOLOGICAL ASSOCIATES, LLC

Practice address

9570 Two Notch Rd
Ste 9
Columbia, SC 29223-4308

Phone

(678) 793-1383

NPI assigned

Oct 24, 2016

Organization subpart

No

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

Authorized official

Name

Ameera Ali

Title

Billing Manager

Phone

(678) 793-1383

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1871044990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 291558",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292290026",
            "telephone_number": "803-736-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9570 TWO NOTCH RD",
            "address_2": "STE 9",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292234308",
            "telephone_number": "678-793-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC PSYCHOLOGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "AMEERA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "678-793-1383"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5508",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6121",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30180161",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Elizabeth Holcombe, FNP-BC
• Makayla Dyanne Holden, ACNPC-AG
• Trayson Wulf Holden
• Holistic Community Healthcare LLC
• Holistic Health Advancements, LLC
• Holistic Therapy Services LLC
• Cherell D Holladay, A.R.N.P.
• Elizabeth 'Lisa' Alberta Holland, PH.D.
• George Ernest Holland Jr., DMD
• Kaitlyn Holland

• Professional Counselor in Columbia, SC
• Providers in Columbia, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.