Organization
THE HOLISTIC MENTAL HEALTH CLINIC
Active
Other names
The Holistic Mental Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE W NELSON JR. CFO (CHIEF FINANCIAL OFFICER)
(727) 599-1292
Entity
Organization
Contact information
Practice address
6161 DR MLK JR ST N, STE 204, SAINT PETERSBURG, FL 33703
(727) 520-9447
(727) 520-9444
Mailing address
6161 DR MLK JR ST N, STE 204, SAINT PETERSBURG, FL 33703
(727) 520-9447
(727) 520-9444
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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