# ANTARA HOLISTIC HEALING, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699096222
- **Authorized official:** MR. DOLAN D WILLIAMS MSW, LCSW (CLINICAL DIRECTOR)
- **Authorized official phone:** (919) 222-1857

## Contact information

- **Practice address:** 113 EAST SIX FORKS ROAD, RALEIGH, NC 27609-7743
- **Practice address phone:** (919) 222-1857
- **Mailing address:** 113 EAST SIX FORKS ROAD, RALEIGH, NC 27609-7743
- **Mailing address phone:** (919) 222-1857

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 06/17/2010
- **Last updated:** 06/17/2010