Provider Demographics
NPI:1952802902
Name:HOLLAND, LEWIS STONE (MS, LPC, C-DBT)
Entity type:Individual
Prefix:
First Name:LEWIS
Middle Name:STONE
Last Name:HOLLAND
Suffix:
Gender:M
Credentials:MS, LPC, C-DBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 E CHEVES ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29506-2526
Mailing Address - Country:US
Mailing Address - Phone:843-629-2435
Mailing Address - Fax:843-317-5606
Practice Address - Street 1:125 E CHEVES ST # 118
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29506-2526
Practice Address - Country:US
Practice Address - Phone:843-629-2435
Practice Address - Fax:843-317-5606
Is Sole Proprietor?:No
Enumeration Date:2018-02-26
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9752101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional