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Contact Information

HOLOS COLLECTIVE
230 W CENTER ST
FAYETTEVILLE, AR72701-5934
 Phone: 479-200-2039
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Marriage & Family Therapist

106H00000X
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for HOLOS COLLECTIVE

NPI Number 1982430971
LBN Legal business name HOLOS COLLECTIVE
Authorized official ANGELA LEEK - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/09/2024
Last updated 09/09/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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