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General NPI Number Information
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NPI Number | 1164304572
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Entity Type | Organization
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Legal Business Name | HOLLY MERCHANT COUNSELING, PLLC
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 139 STATE ST STE 2
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City | BANGOR
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State | ME
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Zip | 04401-5317
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Country | US
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Telephone | 207-281-4927
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Fax | 207-358-6904
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Provider Business Mailing Address
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Address Line | 66 WOODLAND DR
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City | BANGOR
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State | ME
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Zip | 04401-2954
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Country | US
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Telephone | 207-949-0778
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Fax |
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Authorized Official
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Title or Position | OWNER/ COUNSELOR
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Name | HOLLY MERCHANT
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Credential | LADC, CCS
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Telephone | 207-949-0778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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