MEDICARE: TONE I HOLLAND LPC, MA

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
2	101YM0800X	Mental Health Counselor	6401020190	MI

General Provider Information

NPI Number	:	1851828578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TONE I HOLLAND LPC, MA

Provider Business Mailing Address
First Line	:	3826 MAY CENTER RD
Second Line	:
City	:	LAKE ORION
State	:	MI
Zip	:	48360-2512
Country	:	US
Telephone Number	:	248-867-8478
Fax Number	:

Provider Business Practice Location Address
First Line	:	3826 MAY CENTER RD
Second Line	:
City	:	LAKE ORION
State	:	MI
Zip	:	48360-2512
Country	:	US
Telephone Number	:	248-867-8478
Fax Number	:

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

Provider Enumeration Date	:	05/12/2017
Last Update Date	:	04/02/2024

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