Healthcare Provider Details

I. General information

NPI: 1487581724
Provider Name (Legal Business Name): HOLLEY'S HELPING HANDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3309 W CULLOM AVE APT 1
CHICAGO IL
60618-2273
US

IV. Provider business mailing address

3309 W CULLOM AVE APT 1
CHICAGO IL
60618-2273
US

V. Phone/Fax

Practice location:
  • Phone: 316-304-5527
  • Fax:
Mailing address:
  • Phone: 316-304-5527
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. HOLLEY RENA BLOOMFIELD
Title or Position: CLINICAL THERAPIST
Credential: LCPC
Phone: 316-304-5527