| Holland Counseling Llc | |
|
1144 Brownfield Rd Douglas WY 82633-9104 | |
| (402) 749-0646 | |
| (855) 551-4086 |
| Full Name | Holland Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 1144 Brownfield Rd, Douglas, Wyoming |
| Authorized Official Name and Position | Ruth Ann Holland (OWNER) |
| Authorized Official Contact | 4027490646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holland Counseling Llc 1144 Brownfield Rd Douglas WY 82633-9104 Ph: (402) 749-0646 | Holland Counseling Llc 1144 Brownfield Rd Douglas WY 82633-9104 Ph: (402) 749-0646 |
| NPI Number | 1922852185 |
|---|---|
| Provider Enumeration Date | 04/15/2024 |
| Last Update Date | 04/15/2024 |
| Certification Date | 04/15/2024 |
| Medicare PECOS PAC ID | 5597294231 |
|---|---|
| Medicare Enrollment ID | O20250127000154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922852185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Ruth Ann Holland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356777528 PECOS PAC ID: 6406385145 Enrollment ID: I20250127000208 |
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