| Doctor Name: | BETHANY HOLLAND |
| NPI Number: | 1124407879 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 1482 Russ Ave Waynesville, NC - 287864143 |
| Business Phone Number: | 8284521395 |
| Business Fax Number: | 8284521396 |
| Mailing Address: | Po Box 444, MURPHY |
| State: | NC |
| Postal Code: | 289060444 |
| Phone Number: | 8288370071 |
| Fax Number: | 8288375309 |
| NPI Enumeration Date: | 05/28/2015 |
| NPI Last Update Date: | 05/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |