Provider Demographics
NPI:1740771666
Name:HOLLAND, SHAHRAZAD (LCMHC)
Entity Type:Individual
Prefix:
First Name:SHAHRAZAD
Middle Name:
Last Name:HOLLAND
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 DISTRICT DR APT 504
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-0253
Mailing Address - Country:US
Mailing Address - Phone:352-256-1710
Mailing Address - Fax:
Practice Address - Street 1:300 DISTRICT DR APT 504
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-0253
Practice Address - Country:US
Practice Address - Phone:720-445-6967
Practice Address - Fax:828-544-1201
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-26
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC163602101YM0800X, 101YP2500X
103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling