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

Phoenix Holistic Services LLC

Organization Mental Health Counselor · NPI 1215608146

Phoenix Holistic Services LLC is a Mental Health Counselor in Jamaica, New York. Registered with an NPI since 2021.

In the registry since
2021
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

15569 115th Rd
Jamaica, NY 11434-1023
Phone: (917) 226-6726
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1215608146
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Allen Smart — Clinical Social Worker · (917) 226-6726
NPI enumeratedSeptember 21, 2021
Last updated in NPPESSeptember 21, 2021
Certification dateSeptember 21, 2021
Mailing address15569 115th Rd, Jamaica, NY 11434-1023

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