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

Holystick, LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1619506300

Holystick, LLC is a Psychiatric/Mental Health Nurse Practitioner in Fairfax, Virginia. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
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

8550 Route 29 Ste 720
Fairfax, VA 22031-1531
Phone: (703) 981-5085
Fax: (240) 901-4515
Show map & directions

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

Additional practice locations (1)

  • 15200 Shady Grove Rd, Rockville, MD 20850-3218 — (240) 945-8525

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1619506300
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hanul Jung — Ceo · (240) 945-8525
Other names Acupuncture; Medical Facility; Holystick,Llc
NPI enumeratedApril 3, 2020
Last updated in NPPESJanuary 18, 2026
Certification dateJanuary 18, 2026
Mailing address14428 Homecrest Rd, Silver Spring, MD 20906-1820

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