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NPI 1184257149 · live from the CMS NPI Registry

A Holistic Therapy Group LLC

Social Worker, Clinical in Clayton, MO. National Provider Identifier 1184257149, active.

NPI record

NPI1184257149 Type 2 · organization
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location7733 Forsyth Blvd Fl 11, Clayton, MO 63105
Practice phone813-530-5257
Mailing addressPo Box 6771, Brandon, FL 33508
EnumeratedFebruary 18, 2020
Last updatedJuly 16, 2026
Authorized officialAshley Nazon, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Mental Health101YM0800X—
Social Worker, Clinical primary1041C0700X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.