Organization
HOLISTIC PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ISELANDE DESYR APRN (PMHNP-BC)
(929) 334-1767
Entity
Organization
Contact information
Practice address
2875 MAIN ST STE 2A, STRATFORD, CT 06614-4979
(929) 334-1767
Mailing address
2875 MAIN ST STE 2A, STRATFORD, CT 06614-4979
(929) 334-1767
(866) 258-0934
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487190278
NPI
CT
Enumeration date
12/10/2018
Last updated
01/18/2019
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