Provider Demographics
NPI:1780969527
Name:HOLLINS, KARLA LAKRISS (LMSW)
Entity type:Individual
Prefix:MS
First Name:KARLA
Middle Name:LAKRISS
Last Name:HOLLINS
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 1:13901 E JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48215-2720
Mailing Address - Country:US
Mailing Address - Phone:313-369-2600
Mailing Address - Fax:313-369-2477
Practice Address - Street 1:13901 E JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48215-2720
Practice Address - Country:US
Practice Address - Phone:313-369-2600
Practice Address - Fax:313-369-2477
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-12
Last Update Date:2013-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010820731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical