Provider Demographics
NPI:1447707278
Name:HOLISTIC SOCIAL WORK SERVICES
Entity type:Organization
Organization Name:HOLISTIC SOCIAL WORK SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:IRMA
Authorized Official - Middle Name:
Authorized Official - Last Name:YAVNO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:917-640-0926
Mailing Address - Street 1:270 LAFAYETTE ST
Mailing Address - Street 2:SUITE 1209
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-3311
Mailing Address - Country:US
Mailing Address - Phone:917-640-0926
Mailing Address - Fax:
Practice Address - Street 1:270 LAFAYETTE ST
Practice Address - Street 2:SUITE 1209
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-3311
Practice Address - Country:US
Practice Address - Phone:917-640-0926
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-09
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty