Organization
HOLISTIC SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI PELOSI APRN (CO OWNER)
(203) 596-0857
Entity
Organization
Contact information
Practice address
969 W MAIN ST, SUITE 1 D, WATERBURY, CT 06708-2653
(203) 596-0857
(203) 900-0672
Mailing address
969 W MAIN ST, SUITE 1 D, WATERBURY, CT 06708-2653
(203) 596-0857
(203) 900-0672
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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