Doctor Name: | MS. WINIFRED MARY HOLLAND |
NPI Number: | 1518000736 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | MH8563 |
Business Practice Address: | 1801 N Temple Ave Starke, FL - 320911960 |
Business Phone Number: | 9049647732 |
Business Fax Number: | 9049643024 |
Mailing Address: | 1030 Meadows Dr, STARKE |
State: | FL |
Postal Code: | 320911800 |
Phone Number: | 9049646951 |
Fax Number: | |
NPI Enumeration Date: | 02/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH8563 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |