# PRO- HOLISM PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ADMINISTRATIVE BUSINESS COUNCIL, '(ABC)' INC.
- **Other names:** Primary Medical Healthcare Practice
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1124353339
- **Legal business name:** ADMINISTRATIVE BUSINESS COUNCIL, '(ABC)' INC.
- **Authorized official:** DR. REDA COSTON LMP, D.SC., PSYD/PHD (HEALTHCARE ADMINISTRATION EXECUTIVE)
- **Authorized official phone:** (404) 800-5550

## Contact information

- **Practice address:** 2480 WINDY HILL RD SE, SUITE 206, MARIETTA, GA 30067-8644
- **Practice address phone:** (770) 953-0074
- **Mailing address:** 2480 WINDY HILL RD SE STE 206, MARIETTA, GA 30067-8656
- **Mailing address phone:** (404) 800-5550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TH0100X | Health Service Psychologist | — | GA | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | FL | — |
| 251E00000X | Home Health Agency | — | GA | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | GA | — |
| 261Q00000X | Clinic/Center | — | GA | — |
| 302R00000X | Health Maintenance Organization | — | NULL | — |
| 305R00000X | Preferred Provider Organization | — | GA | — |

## Other

- **Enumeration date:** 10/06/2009
- **Last updated:** 07/16/2020