National Provider Identifier Database

HOLOS COLLECTIVE
Professional


Contact Information

HOLOS COLLECTIVE
230 W CENTER ST
FAYETTEVILLE, AR72701-5934
Phone: 479-200-2039
Fax:
Website:
Specialty Taxonomy Code
* Professional 101YP2500X
Clinical 1041C0700X
Counseling 103TC1900X
Marriage & Family Therapist 106H00000X
Mental Health (Including Community Mental Health Center) 261QM0801X
Psychiatry 2084P0800X

* Indicates primary specialty

NPI Profile & details for HOLOS COLLECTIVE

NPI Number 1982430971
Legal business name
LBN
HOLOS COLLECTIVE
Authorized official ANGELA LEEK - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/09/2024
Last updated 09/09/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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