DR. TIMOTHY HOLLER LPC-MHSP NPI 1417378761

NPI Information

NPI: 1417378761
Provider Name: DR. TIMOTHY HOLLER, LPC-MHSP
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
735 RIDGE LAKE BLVD
MEMPHIS, TN
ZIP 38120
Phone: (901) 682-8452
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DR. Timothy Holler, LPC-MHSP is a professional counselor in Memphis, TN. DR. Timothy Holler, LPC-MHSP NPI is 1417378761. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

735 RIDGE LAKE BLVD
MEMPHIS, TN
ZIP 38120-402
Phone: (901) 682-8452

The enumeration date for this NPI number is 1/3/2014 and was last updated on 1/3/2014.

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
1	101YP2500X	Counselor	Professional	305	TENNESSEE	Yes

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: 4/28/2024

NPI Synchronization or Removal

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