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Organization

HOLISTIC HUMAN SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEITH EDWARD GREEN M.ED (PROGRAM EXECUTIVE DIRECTOR)
(888) 582-0224
Entity
Organization

Contact information

Practice address
4310 REGENCY DR STE 100, 106, HIGH POINT, NC 27265-9487
(888) 582-0224
(888) 982-6555
Mailing address
PO BOX 671, CARRBORO, NC 27510-0671
(888) 582-0224
(888) 580-6555

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101YP2500X
Professional Counselor
5084
NC
103T00000X
Psychologist
1581
NC
103TC0700X
Clinical Psychologist
1449
NC
251S00000X
Community/Behavioral Health Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3418975
NC
05
8302308
NC
05
8302895
NC
05
8302895B
NC
05
8302895G
NC
05
8302895H
NC
05
8302895Q
NC
05
8302895S
NC
Enumeration date
11/04/2009
Last updated
05/24/2011
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