Provider Demographics
NPI:1740868447
Name:HOLLMANN, GEMMA (LPC)
Entity type:Individual
Prefix:
First Name:GEMMA
Middle Name:
Last Name:HOLLMANN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1483 WEBBER RD
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN HOME
Mailing Address - State:AR
Mailing Address - Zip Code:72653-6938
Mailing Address - Country:US
Mailing Address - Phone:928-607-5531
Mailing Address - Fax:
Practice Address - Street 1:1483 WEBBER RD
Practice Address - Street 2:
Practice Address - City:MOUNTAIN HOME
Practice Address - State:AR
Practice Address - Zip Code:72653-6938
Practice Address - Country:US
Practice Address - Phone:928-607-5531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-01
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP2308004101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional