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Active NPI 1659066074 Organization (Entity Type 2)

Holistic Practice Pllc

Nurse Practitioner - Psychiatric/Mental Health • Anna, TX

About Holistic Practice Pllc NPI 1659066074 Summary

Holistic Practice Pllc is a verified healthcare organization specializing in Nurse Practitioner - Psychiatric/Mental Health operating in Anna, TX. Located at 1130 ANNIE OAKLEY DR, this facility provides patient care and medical services under National Provider Identifier (NPI) 1659066074.

Administrative operations and authorized compliance are overseen by Risikat Lawal (Ceo).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

1130 Annie Oakley Dr

Anna, TX 754095137

Telephone 4696859522

Authorized Official Information

Authorized Contact Name

Risikat Lawal , CRNP-PMH

Title / Role

Ceo

Official Telephone

4696859522

Facility Classifications & Specialties

Nurse Practitioner - Psychiatric/Mental Health Primary Taxonomy

NUCC Taxonomy Code: 363LP0808X

Definition to come...

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked

Risikat Lawal , NP-C, FNP NPI 1902339096

Nurse Practitioner - Psychiatric/Mental Health

Anna, TX

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

8 Historical Events

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Organization / Clinic Name Updated January 10, 2024

Operating as HOLISTIC PRACTICE PLLC

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Organization / Clinic Name Updated December 29, 2023

Operating as HOLISTIC PRACTICE LLC

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NPI Profile Active April 11, 2023

NPI status registered as active in NPPES database

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Updated Practice Location April 11, 2023

Registered at 1130 ANNIE OAKLEY DR, ANNA, TX 754095137 (Tel: 4696859522)

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Updated Business Mailing Address April 11, 2023

Registered at 1130 ANNIE OAKLEY DR, ANNA, TX 754095137 (Tel: 4696859522)

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Organization / Clinic Name Updated April 11, 2023

Operating as HOLLISTIC PRACTICE LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2023

Nurse Practitioner

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Initial NPI Registration & Enumeration April 11, 2023

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

0 Reviews

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NPI Organization Metadata

NPI Number: 1659066074

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: April 11, 2023

Last Update: January 10, 2024

Update or Correct Listing

Mailing Address

1130 Annie Oakley Dr

Anna, TX 754095137

Phone: 4696859522

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.