Provider Demographics
NPI:1295436335
Name:ANN T HOLLAND LICENSED PROFESSIONAL COUNSELING PLLC
Entity type:Organization
Organization Name:ANN T HOLLAND LICENSED PROFESSIONAL COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING AGENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:G
Authorized Official - Last Name:HOLLAND
Authorized Official - Suffix:
Authorized Official - Credentials:BSW
Authorized Official - Phone:231-330-5372
Mailing Address - Street 1:214 WATER ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:BOYNE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49712-2203
Mailing Address - Country:US
Mailing Address - Phone:231-675-3150
Mailing Address - Fax:231-459-4397
Practice Address - Street 1:214 WATER ST
Practice Address - Street 2:SUITE 3
Practice Address - City:BOYNE CITY
Practice Address - State:MI
Practice Address - Zip Code:49712-2203
Practice Address - Country:US
Practice Address - Phone:231-675-3150
Practice Address - Fax:231-459-4397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-15
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty