MEDICARE: MARIE HOLLAND

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
1	101YM0800X	Mental Health Counselor		NY

General Provider Information

NPI Number	:	1417738220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIE HOLLAND

Provider Business Mailing Address
First Line	:	115 BARR LN
Second Line	:
City	:	MONROE
State	:	NY
Zip	:	10950-4941
Country	:	US
Telephone Number	:	845-825-6955
Fax Number	:

Provider Business Practice Location Address
First Line	:	1392 ALBANY POST RD
Second Line	:
City	:	CROTON ON HUDSON
State	:	NY
Zip	:	10520-1559
Country	:	US
Telephone Number	:	914-214-1032
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/09/2023
Last Update Date	:	06/02/2026

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