Healthcare Provider Details

I. General information

NPI: 1417738220
Provider Name (Legal Business Name): MARIE HOLLAND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2023
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1392 ALBANY POST RD
CROTON ON HUDSON NY
10520-1559
US

IV. Provider business mailing address

115 BARR LN
MONROE NY
10950-4941
US

V. Phone/Fax

Practice location:
  • Phone: 914-214-1032
  • Fax:
Mailing address:
  • Phone: 845-825-6955
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: