Provider Demographics
NPI:1881091379
Name:WHITE, HOLLIE ANNA (LPC)
Entity type:Individual
Prefix:
First Name:HOLLIE
Middle Name:ANNA
Last Name:WHITE
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 1:1501 14TH ST S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-6105
Mailing Address - Country:US
Mailing Address - Phone:205-422-1444
Mailing Address - Fax:
Practice Address - Street 1:265 RIVERCHASE PKWY E STE 206
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-2899
Practice Address - Country:US
Practice Address - Phone:205-821-2979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-26
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2673101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor