Provider Demographics
NPI:1538975453
Name:HOLISTIC HYPNOTHERAPIST CENTER LLC
Entity type:Organization
Organization Name:HOLISTIC HYPNOTHERAPIST CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELORS
Authorized Official - Prefix:MISS
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:JNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-399-3114
Mailing Address - Street 1:300 S SAINT PAUL ST APT 628
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201-5511
Mailing Address - Country:US
Mailing Address - Phone:469-399-3114
Mailing Address - Fax:
Practice Address - Street 1:300 S SAINT PAUL ST APT 628
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75201-5511
Practice Address - Country:US
Practice Address - Phone:469-399-3114
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center