Healthcare Provider Details

I. General information

NPI: 1346393386
Provider Name (Legal Business Name): ALLISON ROSE HOLT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLISON ROSE MEEKS MD

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8500 NORMANDALE LAKE BLVD
BLOOMINGTON MN
55437-3813
US

IV. Provider business mailing address

109 W 27TH ST FL 5
NEW YORK NY
10001-6208
US

V. Phone/Fax

Practice location:
  • Phone: 833-351-8255
  • Fax: 888-815-3583
Mailing address:
  • Phone: 833-351-8255
  • Fax: 888-815-3583

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberC193149
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number320362
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number48144
License Number StateMN
# 4
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number48144
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: