Organization
HOLISTICS SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIA MCLEAN OWNER (CEO)
(910) 739-2477
Entity
Organization
Contact information
Practice address
2003 GODWIN AVE STE C, LUMBERTON, NC 28358-3150
(910) 739-2477
(910) 739-2478
Mailing address
2003 GODWIN AVE STE C, LUMBERTON, NC 28358-3150
(910) 739-2477
(910) 739-2478
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1277
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1665
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6008631
—
NC
Enumeration date
02/27/2012
Last updated
02/27/2012
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