# HOLISTIC HUMAN SERVICES, INC.

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

## Provider details

- **NPI number:** 1740517226
- **Authorized official:** KEITH EDWARD GREEN M.ED (PROGRAM EXECUTIVE DIRECTOR)
- **Authorized official phone:** (888) 582-0224

## Contact information

- **Practice address:** 4310 REGENCY DR STE 100, 106, HIGH POINT, NC 27265-9487
- **Practice address phone:** (888) 582-0224
- **Practice address fax:** (888) 982-6555
- **Mailing address:** PO BOX 671, CARRBORO, NC 27510-0671
- **Mailing address phone:** (888) 582-0224
- **Mailing address fax:** (888) 580-6555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 101YP2500X | Professional Counselor | 5084 | NC | — |
| 103T00000X | Psychologist | 1581 | NC | — |
| 103TC0700X | Clinical Psychologist | 1449 | NC | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 11/04/2009
- **Last updated:** 05/24/2011