MEDICARE: TASHA HOLLAND

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	343900000X	Non-emergency Medical Transport (VAN)		VA
2	101Y00000X	Counselor
3	101YM0800X	Mental Health Counselor	0732010581	VA

General Provider Information

NPI Number	:	1346084365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TASHA HOLLAND

Provider Business Mailing Address
First Line	:	1803 WATTS LN
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23223-1925
Country	:	US
Telephone Number	:	804-723-1295
Fax Number	:

Provider Business Practice Location Address
First Line	:	1803 WATTS LN
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23223-1925
Country	:	US
Telephone Number	:	804-723-1295
Fax Number	:

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

Provider Enumeration Date	:	06/24/2024
Last Update Date	:	02/19/2025

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Directions to “ TASHA HOLLAND ” Practice Location

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