Holley, Ida Marie
Holley, Ida Marie is an individual health care provider with primary practice located at 1532 Kingsley Ave Suite 112, Orange Park FL 32073-4538. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Holley, Ida Marie can be contacted via phone (904) 278-8722.Contact Information
Primary practice address
1532 Kingsley Ave Suite 112
Orange Park FL 32073-4538
Phone: (904) 278-8722
Fax: (904) 278-4880
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH6257 | Florida |
Profile Details
| NPI number | 1316084494 |
|---|---|
| LBN Legal business name | Holley, Ida Marie |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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