| Doctor Name: | MS. HOLLIS VALE BURKHART |
| NPI Number: | 1043393176 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC |
| License Number: | MHC00226 |
| Business Practice Address: | 60 Bay Spring Ave. Pathways Wellness Center Suite B1 Barrington, RI - 02806 |
| Business Phone Number: | 4012460214 |
| Business Fax Number: | |
| Mailing Address: | 107 Hillside Ave, REHOBOTH |
| State: | MA |
| Postal Code: | 027691307 |
| Phone Number: | 5082529489 |
| Fax Number: | |
| NPI Enumeration Date: | 10/23/2006 |
| NPI Last Update Date: | 12/23/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MHC00226 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |