MS. IDA MARIE HOLLEY LMHC NPI 1316084494

NPI Information

  • NPI: 1316084494
  • Provider Name: MS. IDA MARIE HOLLEY, LMHC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 1532 KINGSLEY AVE
    SUITE 112
    ORANGE PARK, FL
    ZIP 32073
  • Phone: (904) 278-8722

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NPI Details

MS. Ida Marie Holley, LMHC is a mental health counselor in Orange Park, FL. MS. Ida Marie Holley, LMHC NPI is 1316084494. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1532 KINGSLEY AVE
SUITE 112
ORANGE PARK, FL
ZIP 32073-538
Phone: (904) 278-8722
Fax: (904) 278-4880

The enumeration date for this NPI number is 1/30/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthMH6257FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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