Provider Demographics
NPI:1841034519
Name:HOLLAND HEART THERAPY LLC
Entity type:Organization
Organization Name:HOLLAND HEART THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARGEAUX
Authorized Official - Middle Name:STRYKER
Authorized Official - Last Name:GROENE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:757-903-9812
Mailing Address - Street 1:701 HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-4502
Mailing Address - Country:US
Mailing Address - Phone:571-414-7916
Mailing Address - Fax:
Practice Address - Street 1:701 HAMILTON ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-4502
Practice Address - Country:US
Practice Address - Phone:757-903-9812
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-19
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty