Healthcare Provider Details

I. General information

NPI: 1902814221
Provider Name (Legal Business Name): ERNEST HOLLAND LMFT, LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 W BROADWAY ST
HOBBS NM
88240-5529
US

IV. Provider business mailing address

1333 E BIRCH AVE
LOVINGTON NM
88260-2911
US

V. Phone/Fax

Practice location:
  • Phone: 505-393-3168
  • Fax: 505-397-4659
Mailing address:
  • Phone: 505-396-2143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberM-0816
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number2517
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: