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Organization

HOLISTIC PSYCHOLOGICAL ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMEERA ALI (BILLING MANAGER)
(678) 793-1383
Entity
Organization

Contact information

Practice address
9570 TWO NOTCH RD, STE 9, COLUMBIA, SC 29223-4308
(678) 793-1383
Mailing address
PO BOX 291558, COLUMBIA, SC 29229-0026
(803) 736-8001

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5508
SC
101YP2500X
Professional Counselor
6121
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30180161
SC
Enumeration date
10/24/2016
Last updated
10/24/2016
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