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

Holistic Vida Therapy

Organization Professional Counselor · NPI 1043835895

Holistic Vida Therapy is a Professional Counselor in Holt, Michigan. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3

Practice location Address checks out

3610 Laureate Dr
Holt, MI 48842-9422
Phone: (517) 455-7555
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X
Professional Counselor Taxonomy 101YP2500X
Social Worker Taxonomy 104100000X

Record details

NPI number1043835895
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Illami Martinez — Owner · (517) 944-1262
NPI enumeratedJune 8, 2020
Last updated in NPPESNovember 26, 2024
Certification dateNovember 26, 2024
Mailing address119 Pere Marquette Dr Ste 2d, Lansing, MI 48912-1270

Other providers in Holt