Provider Demographics
NPI:1760287817
Name:HOLISTIC FAMILY SERVICES, LLC
Entity type:Organization
Organization Name:HOLISTIC FAMILY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MIATTA
Authorized Official - Middle Name:
Authorized Official - Last Name:YEANAY
Authorized Official - Suffix:
Authorized Official - Credentials:LMHP-R
Authorized Official - Phone:804-665-5230
Mailing Address - Street 1:1731 WALL ST STE G
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23224-2040
Mailing Address - Country:US
Mailing Address - Phone:804-292-8600
Mailing Address - Fax:804-910-3518
Practice Address - Street 1:1731 WALL ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23224-2040
Practice Address - Country:US
Practice Address - Phone:804-665-5230
Practice Address - Fax:804-910-3518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health