Organization
HOLISTIC MENTAL HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN CLUKIE (ADMINISTRATOR)
(813) 997-2099
Entity
Organization
Contact information
Practice address
9117 W 131ST CT, OVERLAND PARK, KS 66213
(813) 997-2099
Mailing address
7131 W 135TH ST # 1159, OVERLAND PARK, KS 66223-1238
(813) 997-2099
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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