Provider Demographics
NPI:1700341534
Name:HOLLAND AND ASSOCIATES COUNSELING, PLLC.
Entity Type:Organization
Organization Name:HOLLAND AND ASSOCIATES COUNSELING, PLLC.
Other - Org Name:HOLLAND AND ASSOCIATES COUNSELING, PLLC.
Other - Org Type:Other Name
Authorized Official - Title/Position:PRACTICE OWNER/CLINICAL SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:HOLLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LCMHCS, LCAS
Authorized Official - Phone:252-255-2733
Mailing Address - Street 1:2224 S CROATAN HWY
Mailing Address - Street 2:D7, PMB21
Mailing Address - City:NAGS HEAD
Mailing Address - State:NC
Mailing Address - Zip Code:27959-8813
Mailing Address - Country:US
Mailing Address - Phone:252-255-2733
Mailing Address - Fax:252-255-0787
Practice Address - Street 1:2224 S CROATAN HWY
Practice Address - Street 2:D7, PMB21
Practice Address - City:NAGS HEAD
Practice Address - State:NC
Practice Address - Zip Code:27959-8813
Practice Address - Country:US
Practice Address - Phone:252-255-2733
Practice Address - Fax:252-255-0787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-06
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1295200814OtherLCMHCA
NC1316582802OtherLCMHCA
NC1366060402OtherLCMHCA
NC1306176094OtherLCMHCS, LCAS
NC1215491949OtherLCSW
NC1821368887OtherLMFT, LCAS
NC1558026831OtherLCAS, LCMHCA