1700341534 NPI number — HOLLAND AND ASSOCIATES COUNSELING, PLLC.

Table of content: (NPI 1700341534)

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:
HOLLAND AND ASSOCIATES COUNSELING, PLLC.
Provider Other Organization Name Type Code:
5
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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