Provider Demographics
NPI:1629304688
Name:HOLLAND, ELITH (LMSW)
Entity Type:Individual
Prefix:
First Name:ELITH
Middle Name:
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 1:384 FAIRLANDING AVE
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75069-6817
Mailing Address - Country:US
Mailing Address - Phone:214-491-6199
Mailing Address - Fax:214-491-6199
Practice Address - Street 1:2459 E HEBRON PKWY
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-4427
Practice Address - Country:US
Practice Address - Phone:972-428-7000
Practice Address - Fax:972-428-2217
Is Sole Proprietor?:No
Enumeration Date:2009-10-27
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50578104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker