Provider Demographics
NPI:1508186040
Name:HOLLAND, LELLA POSTON (MS, SSP)
Entity Type:Individual
Prefix:MS
First Name:LELLA
Middle Name:POSTON
Last Name:HOLLAND
Suffix:
Gender:F
Credentials:MS, SSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 PEARSON FALLS RD
Mailing Address - Street 2:
Mailing Address - City:SALUDA
Mailing Address - State:NC
Mailing Address - Zip Code:28773-9772
Mailing Address - Country:US
Mailing Address - Phone:828-749-3875
Mailing Address - Fax:
Practice Address - Street 1:43 PEARSON FALLS RD
Practice Address - Street 2:
Practice Address - City:SALUDA
Practice Address - State:NC
Practice Address - Zip Code:28773-9772
Practice Address - Country:US
Practice Address - Phone:828-749-3875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-07
Last Update Date:2010-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6584101YP2500X
SC1850101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional