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Organization
HOLISTIC BEHAVIORAL HEALTH SERVICES LLC
Active
Organization
HOLISTIC BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MABEL YATTA JOHNSON NURSE PRACTITIONER (NP)
(978) 995-2533
Entity
Organization
Contact information
Practice address
505 NASHUA RD STE 12, DRACUT, MA 01826-1929
(978) 995-2533
(888) 340-6599
Mailing address
24 OAK AVE, TYNGSBORO, MA 01879-1779
(978) 995-2533
(978) 419-4186
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
NULL
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
NULL
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
—
NULL
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/28/2020
Last updated
09/29/2020
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