MEDICARE: MR. TIMOTHY HOLLAR LPC-MHSP

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

General Provider Information

NPI Number	:	1063210631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. TIMOTHY HOLLAR LPC-MHSP

Provider Business Mailing Address
First Line	:	2421 14TH AVE N
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37208-1172
Country	:	US
Telephone Number	:	585-474-8578
Fax Number	:

Provider Business Practice Location Address
First Line	:	822 MERIDIAN ST
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37207-5850
Country	:	US
Telephone Number	:	615-423-4697
Fax Number	:

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

Provider Enumeration Date	:	03/07/2025
Last Update Date	:	03/07/2025

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