Provider Demographics
NPI:1255033171
Name:HOLLAND, BRITTANY NICOLE (LMSW)
Entity type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:NICOLE
Last Name:HOLLAND
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42-09 28TH STREET
Mailing Address - Street 2:WS 20-47
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101
Mailing Address - Country:US
Mailing Address - Phone:646-887-4273
Mailing Address - Fax:
Practice Address - Street 1:1309 FULTON AVE
Practice Address - Street 2:2ND FLOOR, ROOM 27
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456-2412
Practice Address - Country:US
Practice Address - Phone:646-887-4273
Practice Address - Fax:718-664-2030
Is Sole Proprietor?:No
Enumeration Date:2023-03-22
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY109676104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker