Provider Demographics
NPI:1609074087
Name:HOLLINGSWORTH, ELIZABETH ROBYN (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:ROBYN
Last Name:HOLLINGSWORTH
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1875 BISCAYNE DRIVE
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789
Mailing Address - Country:US
Mailing Address - Phone:407-312-8295
Mailing Address - Fax:
Practice Address - Street 1:157 E NEW ENGLAND AVE
Practice Address - Street 2:SUITE # 300
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-4346
Practice Address - Country:US
Practice Address - Phone:407-975-0400
Practice Address - Fax:407-696-4831
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9099101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health