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Organization
HOLISTIC, LLC
Active
Organization
HOLISTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LOUREN PRICE LCSW, QS, MCAP (OWNER/MANAGING MEMBER)
(954) 663-7657
Entity
Organization
Contact information
Practice address
4502 N FEDERAL HWY APT 215B, LIGHTHOUSE POINT, FL 33064-6569
(954) 663-7657
Mailing address
4502 N FEDERAL HWY APT 215B, LIGHTHOUSE POINT, FL 33064-6569
(954) 663-7657
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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