1700341534 NPI number — HOLLAND AND ASSOCIATES COUNSELING, PLLC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700341534 NPI number — HOLLAND AND ASSOCIATES COUNSELING, PLLC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOLLAND AND ASSOCIATES COUNSELING, PLLC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1700341534
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/14/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2224 S CROATAN HWY
Provider Second Line Business Mailing Address:
D7, PMB21
Provider Business Mailing Address City Name:
NAGS HEAD
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27959-8813
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
252-255-2733
Provider Business Mailing Address Fax Number:
252-255-0787

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2224 S CROATAN HWY
Provider Second Line Business Practice Location Address:
D7, PMB21
Provider Business Practice Location Address City Name:
NAGS HEAD
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27959-8813
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-255-2733
Provider Business Practice Location Address Fax Number:
252-255-0787
Provider Enumeration Date:
02/06/2019

Additional Information

Authorized Official

Authorized Official Last Name:
HOLLAND
Authorized Official First Name:
MARIE
Authorized Official Middle Name:
ELIZABETH
Authorized Official Title or Position:
PRACTICE OWNER/CLINICAL SUPERVISOR
Authorized Official Telephone Number:
252-255-2733

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 106H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1295200814 . This is a "LCMHCA" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 1316582802 . This is a "LCMHCA" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 1366060402 . This is a "LCMHCA" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 1306176094 . This is a "LCMHCS, LCAS" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 1215491949 . This is a "LCSW" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 1821368887 . This is a "LMFT, LCAS" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 1558026831 . This is a "LCAS, LCMHCA" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".




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