Provider Demographics
NPI:1437885662
Name:HOLLADAY, JULIE KAY (MA, MS, LPC, LMHC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:KAY
Last Name:HOLLADAY
Suffix:
Gender:F
Credentials:MA, MS, LPC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5001 1ST AVE SE STE 105
Mailing Address - Street 2:161
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-3251
Mailing Address - Country:US
Mailing Address - Phone:319-804-8815
Mailing Address - Fax:
Practice Address - Street 1:5001 1ST AVE SE STE 105
Practice Address - Street 2:161
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-3251
Practice Address - Country:US
Practice Address - Phone:319-804-8815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-29
Last Update Date:2023-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA115021101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health