Organization
HOLISTIC HUMAN SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH EDWARD GREEN M.ED. (PROGRAM DIRECTOR)
(888) 582-0224
Entity
Organization
Contact information
Practice address
150 PROVIDENCE RD, SUITE 100-G, CHAPEL HILL, NC 27514-2208
(888) 582-0224
(888) 580-6555
Mailing address
PO BOX 671, CARRBORO, NC 27510-0671
(888) 582-0224
(888) 580-6555
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
5084
NC
103T00000X
Psychologist
1581
NC
103TC0700X
Clinical Psychologist
1449
NC
251C00000X
Developmentally Disabled Services Day Training Agency
MHL-032-490
NC
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6006774
—
NC
05
—
809275207A
—
GA
05
—
809275207B
—
GA
05
—
809275207C
—
GA
05
—
8302895
—
NC
05
—
8302895B
—
NC
05
—
8302895G
—
NC
05
—
8302895H
—
NC
Enumeration date
03/13/2009
Last updated
05/23/2011
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