Provider Demographics
NPI:1821471483
Name:HOLLINSHEAD, VONDA (LPC)
Entity Type:Individual
Prefix:
First Name:VONDA
Middle Name:
Last Name:HOLLINSHEAD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1686 ALPINE RD
Mailing Address - Street 2:
Mailing Address - City:WARFORDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17267-8925
Mailing Address - Country:US
Mailing Address - Phone:717-977-0649
Mailing Address - Fax:
Practice Address - Street 1:1686 ALPINE RD
Practice Address - Street 2:
Practice Address - City:WARFORDSBURG
Practice Address - State:PA
Practice Address - Zip Code:17267-8925
Practice Address - Country:US
Practice Address - Phone:717-977-0649
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-01
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC007012101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional