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NPI Code Detail

MEDICARE: LILLIAN HOLLARS

MEDICARE:   LILLIAN  HOLLARS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorKY-0841KY

General Provider Information

NPI Number : 1275947087
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILLIAN HOLLARS
Provider Business Mailing Address
First Line : 5365 N HIGHWAY 25 W
Second Line :
City : WILLIAMSBURG
State : KY
Zip : 40769-7400
Country : US
Telephone Number : 606-521-3348
Fax Number :
Provider Business Practice Location Address
First Line : 3540 S HIGHWAY 27 STE 4
Second Line :
City : SOMERSET
State : KY
Zip : 42501-3124
Country : US
Telephone Number : 606-679-1815
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2014
Last Update Date : 06/19/2014

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Directions to “ LILLIAN HOLLARS ” Practice Location

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