Individual provider · Type 1 NPI

Lisa Ann Holloway, LMHC

Mental Health Counselor · Fernandina Beach, FL

NPI number 1811048952 Active

Practice location

1903 Island Walk Way
Fernandina Beach, FL 32034-4797

Mailing address

1582 Falkland Rd E
Jacksonville, FL 32221-2803

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH9688 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1811048952

Lisa Ann Holloway, LMHC's National Provider Identifier is 1811048952, issued on Jan 16, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fernandina Beach, FL. The record was last updated on Feb 5, 2020.