Provider Demographics
NPI:1013798297
Name:HOLLIDA, ALISON (LGPC)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:HOLLIDA
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2007 POINTVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:FOREST HILL
Mailing Address - State:MD
Mailing Address - Zip Code:21050-3200
Mailing Address - Country:US
Mailing Address - Phone:443-655-5208
Mailing Address - Fax:
Practice Address - Street 1:2007 POINTVIEW CIR
Practice Address - Street 2:
Practice Address - City:FOREST HILL
Practice Address - State:MD
Practice Address - Zip Code:21050-3200
Practice Address - Country:US
Practice Address - Phone:443-655-5208
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-12
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP13482101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor