| Doctor Name: | RODRICK L HOLLIS |
| NPI Number: | 1003977539 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 125 E Robinson St Gaffney, SC - 293402444 |
| Business Phone Number: | 8644872710 |
| Business Fax Number: | 8644872729 |
| Mailing Address: | 250 Dewey Ave, SPARTANBURG |
| State: | SC |
| Postal Code: | 293033009 |
| Phone Number: | 8645850366 |
| Fax Number: | 8645829208 |
| NPI Enumeration Date: | 12/12/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |