| Holistic Hope Llc | |
|
2405 Casa Grande Dr League City TX 77573-1472 | |
| (571) 559-1922 | |
| Not Available |
| Full Name | Holistic Hope Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2405 Casa Grande Dr, League City, Texas |
| Authorized Official Name and Position | Faith Larson (OWNER) |
| Authorized Official Contact | 5715591922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Hope Llc 2405 Casa Grande Dr League City TX 77573-1472 Ph: (571) 559-1922 | Holistic Hope Llc 2405 Casa Grande Dr League City TX 77573-1472 Ph: (571) 559-1922 |
| NPI Number | 1952098550 |
|---|---|
| Provider Enumeration Date | 04/24/2023 |
| Last Update Date | 04/24/2023 |
| Certification Date | 04/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952098550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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