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NPI Code Detail

MEDICARE: MS. DEBRA HOLLOWAY M.A., LMHC

MEDICARE: MS. DEBRA HOLLOWAY M.A., 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
1101YM0800XMental Health Counselor6557MA

General Provider Information

NPI Number : 1619166303
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEBRA HOLLOWAY M.A., LMHC
Provider Business Mailing Address
First Line : 233 AYER RD
Second Line :
City : HARVARD
State : MA
Zip : 01451-1131
Country : US
Telephone Number : 978-660-6825
Fax Number :
Provider Business Practice Location Address
First Line : 233 AYER RD
Second Line :
City : HARVARD
State : MA
Zip : 01451-1131
Country : US
Telephone Number : 978-772-3070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2007
Last Update Date : 05/15/2008

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