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NPI 1902814221

NPI 1902814221 : ERNEST HOLLAND LMFT, LMSW : HOBBS, NM

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General NPI Number Information
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    NPI Number           |    1902814221
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    Entity Type          |    Individual 
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    Provider Name        |    ERNEST HOLLAND LMFT, LMSW
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/03/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    920 W BROADWAY ST 
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    City                 |    HOBBS
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    State                |    NM
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    Zip                  |    88240-5529
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    Country              |    US
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    Telephone            |    505-393-3168
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    Fax                  |    505-397-4659
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Provider Business Mailing Address
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    Address Line         |    1333 E BIRCH AVE 
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    City                 |    LOVINGTON
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    State                |    NM
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    Zip                  |    88260-2911
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    Country              |    US
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    Telephone            |    505-396-2143
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    M-0816
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    License Number State |    NM
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Taxonomy #2
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    2517
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    License Number State |    NM
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