Individual provider · Type 1 NPI
Ida Marie Holley, LMHC
Mental Health Counselor · Orange Park, FL
NPI number
1316084494
Active
Practice location
1532 Kingsley Ave, Suite 112
Orange Park, FL 32073-4538
Fax (904) 278-4880
Mailing address
PO Box 1457
Orange Park, FL 32067-1457
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MH6257 (FL) |
Mental Health Counselor: Definition to come...
3 other providers at this address
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- Annie SeaMental Health Counselor Orange Park, FL NPI 1003693516
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- Sandra Ann Currie, LMHCMental Health Counselor Orange Park, FL NPI 1033234653
- Alexandra RichettiMental Health Counselor Orange Park, FL NPI 1033857743
- Joni Neidigh, L.M.H.C.Mental Health Counselor Orange Park, FL NPI 1093864555
- Ashanti Crystal Belle, LMHCMental Health Counselor Orange Park, FL NPI 1104449008
- Desiree Patrick, LMHCMental Health Counselor Orange Park, FL NPI 1114553559
About NPI 1316084494
Ida Marie Holley, LMHC's National Provider Identifier is 1316084494, issued on Jan 30, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Orange Park, FL. The record was last updated on Jul 8, 2007.