Provider Demographics
NPI:1417399437
Name:HOLLAND, PAMELA KAY (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:KAY
Last Name:HOLLAND
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8595 COLLEGE BLVD
Mailing Address - Street 2:STE 160
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-2749
Mailing Address - Country:US
Mailing Address - Phone:913-661-0923
Mailing Address - Fax:
Practice Address - Street 1:8595 COLLEGE BLVD
Practice Address - Street 2:STE 160
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-2749
Practice Address - Country:US
Practice Address - Phone:913-661-0923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-18
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS4812104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker