Organization
HOLISTIC BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MABEL YATTA JOHNSON NURSE PRACTITIONER (NP)
(978) 995-2533
Entity
Organization
Contact information
Practice address
505 NASHUA RD STE 12, DRACUT, MA 01826-1929
(978) 995-2533
(888) 340-6599
Mailing address
24 OAK AVE, TYNGSBORO, MA 01879-1779
(978) 995-2533
(978) 419-4186
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/28/2020
Last updated
09/29/2020
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