Holistic Treatment Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

20563 Issued in MD

Legal business name

HOLISTIC TREATMENT CENTER

Practice address

3050 Crain Hwy Ste 200
Waldorf, MD 20601-2822

Phone

(571) 490-1421

Fax

(571) 490-1421

NPI assigned

Jun 15, 2017

Last updated

Jun 15, 2017By 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

Renee Butler, LCSW-CQNPI 1912364951

Title

President

Phone

(571) 490-1421

Specialties & licenses 1

Addresses

Other identifiers 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.

• Renee Adela Butler, LCSW-C

  • Clinical Social Worker
  • Fort Washington, MD
  • NPI 1912364951
  Authorized official Same address or phone

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497484800000",
    "number": "1932639663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 LOCH CARRON CIR",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207447017",
            "telephone_number": "571-490-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 CRAIN HWY STE 200",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012822",
            "telephone_number": "571-490-1421",
            "fax_number": "571-490-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2017-06-15",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "571-490-1421",
        "authorized_official_credential": "LCSW-CQ"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "20563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103795100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew John Hockett, OD
• Pamela Aleasia Hodge
• Kimberle Lynne Hogge, PA-C
• Ceyonna Hogue
• Holistic Therapeutic Wellness
• Ronald J Hollander, D.D.S.
• Nicole Holley
• Tyra Holliday, DPT
• Don Angelo Hollinger, CSA/CFA
• Alyssa Holmberg

• Clinic/Center in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; 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.