Healthcare Provider Details

I. General information

NPI: 1104749423
Provider Name (Legal Business Name): DR. SARAI D HOLLIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

822 DUNVEGAN DR
PRATTVILLE AL
36067-2324
US

IV. Provider business mailing address

822 DUNVEGAN DR
PRATTVILLE AL
36067-2324
US

V. Phone/Fax

Practice location:
  • Phone: 618-203-1146
  • Fax:
Mailing address:
  • Phone: 618-203-1146
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: