MEDICARE: KERRI HOLLOWAY LMHC

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	26151	FL

General Provider Information

NPI Number	:	1306722681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KERRI HOLLOWAY LMHC

Provider Business Mailing Address
First Line	:	229 BEACHVIEW DR NE
Second Line	:
City	:	FORT WALTON BEACH
State	:	FL
Zip	:	32547-2802
Country	:	US
Telephone Number	:	850-259-0420
Fax Number	:

Provider Business Practice Location Address
First Line	:	229 BEACHVIEW DR NE
Second Line	:
City	:	FORT WALTON BEACH
State	:	FL
Zip	:	32547-2802
Country	:	US
Telephone Number	:	850-259-0420
Fax Number	:

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

Provider Enumeration Date	:	08/13/2025
Last Update Date	:	08/13/2025

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Directions to “ KERRI HOLLOWAY LMHC” Practice Location

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