MEDICARE: HOLLAND HALL COUNSELING, LLC

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	:	1235083841
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLLAND HALL COUNSELING, LLC

Provider Business Mailing Address
First Line	:	208 SE 10TH ST
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32601-6901
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	208 SE 10TH ST
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32601-6901
Country	:	US
Telephone Number	:	850-502-1816
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HOLLAND HALL
Credential	:
Telephone Number	:	850-502-1816

Provider Enumeration Date	:	02/23/2026
Last Update Date	:	03/02/2026

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