Provider Demographics
NPI:1407300288
Name:ORLASKY, HOLLY (LCSW, LCADC)
Entity Type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:
Last Name:ORLASKY
Suffix:
Gender:F
Credentials:LCSW, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3916 SE 11TH AVE
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-5162
Mailing Address - Country:US
Mailing Address - Phone:732-861-4982
Mailing Address - Fax:
Practice Address - Street 1:13880 SHELL POINT PLZ STE 110
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-3504
Practice Address - Country:US
Practice Address - Phone:239-454-2146
Practice Address - Fax:239-454-2111
Is Sole Proprietor?:No
Enumeration Date:2016-08-09
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL100467101YA0400X
NJ37LC00247100101YA0400X
NJ44SC058109001041C0700X
FLSW213241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)