Healthcare Provider Details

I. General information

NPI: 1245135250
Provider Name (Legal Business Name): HOLLAND MICHELS LSWA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

447 ARLINGTON ST
GREENSBORO NC
27406-1405
US

IV. Provider business mailing address

2803 OVERVIEW TER
HIGH POINT NC
27265-2334
US

V. Phone/Fax

Practice location:
  • Phone: 336-382-5031
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberP024348
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: