Provider Demographics
NPI:1215133814
Name:HOLLAND, JAMES A (MSW, LCSW)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:A
Last Name:HOLLAND
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:MR
Other - First Name:JAMES
Other - Middle Name:A
Other - Last Name:HOLLAND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:4301 W MARKHAM ST
Mailing Address - Street 2:SLOT #789
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-7101
Mailing Address - Country:US
Mailing Address - Phone:501-686-8408
Mailing Address - Fax:501-296-1427
Practice Address - Street 1:4301 W MARKHAM ST
Practice Address - Street 2:SLOT #789
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-7101
Practice Address - Country:US
Practice Address - Phone:501-686-8408
Practice Address - Fax:501-296-1427
Is Sole Proprietor?:No
Enumeration Date:2007-06-21
Last Update Date:2014-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2287-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR2287-COtherSOCIAL WORK LICENSE (LCSW)