Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Holistic Individual Support Living LLC

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1215744198

Holistic Individual Support Living LLC is a Mental Illness Community Based Residential Treatment Facility in Jefferson City, Missouri. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

529 Aurora Ave
Jefferson City, MO 65101-2816
Phone: (202) 518-7073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X

Record details

NPI number1215744198
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jovin Bayingana — Ceo · (207) 518-7073
Other names Holistic; Holistic
NPI enumeratedDecember 14, 2024
Last updated in NPPESDecember 30, 2024
Certification dateDecember 30, 2024
Mailing address529 Aurora Ave, Jefferson City, MO 65101-2816

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