HOLISTIC BEHAVIORAL HEALTHCARE LLC
NPI 1811677438
Nurse Practitioner - Psychiatric/Mental Health in Selma, AL

Active since July 19, 2023
1721 BROAD ST, SELMA, AL 36701(513) 238-0267 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Holistic Behavioral Healthcare Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLISTIC BEHAVIORAL HEALTHCARE LLC (NPI 1811677438) is a healthcare organization registered as a psychiatric/mental health in Selma, Alabama and active in the NPI registry since July 2023. The organization lists Carine Djuidje, Managing Onwer, as its authorized official.

NPPES Registry Identity

NPI1811677438
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameHOLISTIC BEHAVIORAL HEALTHCARE LLC
Location Address1721 BROAD STSelma, AL 36701-4116
Mailing Address1721 Broad StSelma, AL 36701-4116
Organization SubpartNo
Authorized OfficialCarine DjuidjeManaging Onwer · (513) 238-0267
Enumeration DateJuly 19, 2023
NPPES CertifiedJuly 19, 2023
✔ NPI 1811677438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1721 BROAD ST, Selma, AL 36701

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holistic Behavioral Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Holistic Behavioral Healthcare LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1063034320
4371 NARROW LANE RD STE 205
Montgomery, AL 36116
(334) 747-7780
✔ PECOS44 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holistic Behavioral Healthcare LLC's NPI number?

The NPI number for Holistic Behavioral Healthcare LLC is 1811677438. It was assigned to this organization in the NPPES registry on July 19, 2023.

Where is Holistic Behavioral Healthcare LLC located?

Holistic Behavioral Healthcare LLC is located at 1721 Broad St, Selma, AL 36701. The listed phone number is (513) 238-0267.

What is Holistic Behavioral Healthcare LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Holistic Behavioral Healthcare LLC enrolled in Medicare?

Yes. Holistic Behavioral Healthcare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Holistic Behavioral Healthcare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Holistic Behavioral Healthcare LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Holistic Behavioral Healthcare LLC was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.