Organization
HOLISTIC MENTAL HEALTH INC
Active
Other names
Clara Elizabeth Ewing LMFT LPC CSAC
Organization subpart
No
Provider details
NPI number
Authorized official
CLARA ELIZABETH EWING LMFT LPC CSAC (DIRECTOR PRESIDENT HOLISTIC MENTAL)
(757) 826-2514
Entity
Organization
Contact information
Practice address
2211 TODDS LANE, HAMPTON, VA 23666
(757) 826-2514
(757) 826-5560
Mailing address
PO BOX 8084, HAMPTON, VA 23666
(757) 826-2514
(757) 826-5560
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5400261
—
VA
Enumeration date
04/06/2006
Last updated
04/10/2008
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