Organization
HOLISTIC COACHING TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANNET T HARPER RCSWI (EXECUTIVE DIRECTOR OF PROGRAMMING)
(727) 678-1751
Entity
Organization
Contact information
Practice address
3510 1ST AVE S # 226, ST PETERSBURG, FL 33711-1304
(727) 678-1751
Mailing address
3510 1ST AVE S # 226, ST PETERSBURG, FL 33711-1304
(727) 678-1751
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ISW11776
FL
1041C0700X
Clinical Social Worker
ISW11776
FL
1041C0700X
Clinical Social Worker
MH7947
FL
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
ME106165
FL
2084P0802X
Addiction Psychiatry Physician
ME106165
FL
251S00000X
Community/Behavioral Health Agency
ARNP9400491
FL
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
ISW11776
FL
324500000X
Substance Abuse Rehabilitation Facility
ISW11776
FL
363LC1500X
Community Health Nurse Practitioner
ARNP9400491
FL
364S00000X
Clinical Nurse Specialist
ARNP9400491
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063865608
—
FL
05
—
1346559820
—
FL
05
—
1407055171
—
FL
05
—
1871048314
—
FL
Enumeration date
08/27/2018
Last updated
08/27/2018
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