MEDICARE: THOMAS EDWARD HOLLIDAY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	6401006987	MI

General Provider Information

NPI Number	:	1043168305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS EDWARD HOLLIDAY

Provider Business Mailing Address
First Line	:	84 OAKDALE BLVD
Second Line	:
City	:	PLEASANT RIDGE
State	:	MI
Zip	:	48069-1038
Country	:	US
Telephone Number	:	248-819-1229
Fax Number	:

Provider Business Practice Location Address
First Line	:	34441 8 MILE RD STE 115116
Second Line	:
City	:	LIVONIA
State	:	MI
Zip	:	48152-4013
Country	:	US
Telephone Number	:	734-469-0513
Fax Number	:	248-471-5556

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

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Directions to “ THOMAS EDWARD HOLLIDAY ” Practice Location

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