Provider Demographics
NPI:1720016454
Name:HOLLAND, CATHERINE M (MA, LPC, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:M
Last Name:HOLLAND
Suffix:
Gender:F
Credentials:MA, LPC, LMHC
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:M
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, LMHC
Mailing Address - Street 1:25 SUNSET VIEW DR
Mailing Address - Street 2:
Mailing Address - City:HORSE SHOE
Mailing Address - State:NC
Mailing Address - Zip Code:28742-7764
Mailing Address - Country:US
Mailing Address - Phone:828-890-8340
Mailing Address - Fax:828-890-8340
Practice Address - Street 1:259 N BROAD ST
Practice Address - Street 2:SUITE 9
Practice Address - City:BREVARD
Practice Address - State:NC
Practice Address - Zip Code:28712-4504
Practice Address - Country:US
Practice Address - Phone:828-890-8340
Practice Address - Fax:828-890-8340
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-29
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL7133101YM0800X
NC5316101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6103586Medicaid