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NPI Code Detail

MEDICARE: JILL MARIE HOLLANDSWORTH MO LMFT 2026026427

MEDICARE: JILL MARIE HOLLANDSWORTH MO LMFT 2026026427
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
1106H00000XMarriage & Family Therapist2026026427MO

General Provider Information

NPI Number : 1245031533
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILL MARIE HOLLANDSWORTH MO LMFT 2026026427
Provider Business Mailing Address
First Line : 726 LAPOINT RD
Second Line :
City : LINN CREEK
State : MO
Zip : 65052-2148
Country : US
Telephone Number : 573-836-0417
Fax Number :
Provider Business Practice Location Address
First Line : 130 CALO LN
Second Line :
City : LAKE OZARK
State : MO
Zip : 65049-9208
Country : US
Telephone Number : 573-273-8193
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2025
Last Update Date : 07/02/2026

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Directions to “ JILL MARIE HOLLANDSWORTH MO LMFT 2026026427” Practice Location

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