Provider Demographics
NPI:1801188651
Name:HOLLAR, RACHEL ANNE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:ANNE
Last Name:HOLLAR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:R.
Other - Middle Name:ANNE
Other - Last Name:HOLLAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:1305 N EL PASO ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-2523
Mailing Address - Country:US
Mailing Address - Phone:719-321-4856
Mailing Address - Fax:
Practice Address - Street 1:1852 IRWIN DR BLDG 1059
Practice Address - Street 2:
Practice Address - City:FORT CARSON
Practice Address - State:CO
Practice Address - Zip Code:80913-4176
Practice Address - Country:US
Practice Address - Phone:719-526-8154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-12
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical