Provider Demographics
NPI:1114502986
Name:HOLLAND, TUERA FELICE (MSW, LSW, MBA)
Entity Type:Individual
Prefix:
First Name:TUERA
Middle Name:FELICE
Last Name:HOLLAND
Suffix:
Gender:F
Credentials:MSW, LSW, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 MORGAN ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-3588
Mailing Address - Country:US
Mailing Address - Phone:267-544-7746
Mailing Address - Fax:
Practice Address - Street 1:375 MORGAN ST
Practice Address - Street 2:
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-3588
Practice Address - Country:US
Practice Address - Phone:215-558-8895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-13
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW1381981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical