Organization
HOLISTIC MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH M JACOBS APRN, CNP (APRN, CNP)
(304) 590-5779
Entity
Organization
Contact information
Practice address
33 EAST WENTWORTH AVE, SUITE 275D, WEST ST. PAUL, MN 55118
(612) 699-4629
(612) 213-0601
Mailing address
2000 70TH ST W, INVER GROVE HEIGHTS, MN 55077-2232
(304) 590-5779
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/29/2022
Last updated
02/09/2024
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