Organization
HOLOS COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA LEEK LMFT/LPC (OWNER)
(479) 200-2039
Entity
Organization
Contact information
Practice address
230 W CENTER ST, FAYETTEVILLE, AR 72701-5934
(479) 200-2039
Mailing address
230 W CENTER ST, FAYETTEVILLE, AR 72701-5934
(479) 200-2039
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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