MEDICARE: GAIL E HOLLER-KENNEDY 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	000501	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000506354005	OTHER	NY	COMMUNITY BLUE
2	00030241501	OTHER	NY	UNIVERA
3	091202000104	OTHER	NY	FIDELIS

General Provider Information

NPI Number	:	1790839447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GAIL E HOLLER-KENNEDY LMHC

Provider Business Mailing Address
First Line	:	1868 NIAGARA FALLS BLVD
Second Line	:	SUITE 306
City	:	TONAWANDA
State	:	NY
Zip	:	14150-6494
Country	:	US
Telephone Number	:	716-200-9448
Fax Number	:

Provider Business Practice Location Address
First Line	:	7348 BEAR RIDGE RD
Second Line	:
City	:	NORTH TONAWANDA
State	:	NY
Zip	:	14120-9520
Country	:	US
Telephone Number	:	716-200-9448
Fax Number	:

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

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	11/22/2013

Similar Medicare Providers

1073167649 — MOVE & PLAY THERAPY FOR CHILDREN LLC
Practice Location Address:

9520 STATELINE RD
NORTH EAST, PA
16428-5411

Practice Phone: 814-746-9548
Practice Fax:

1225842370 — SABRINA S JOHNSON
Practice Location Address:

117 S MAIN ST
NORTH FAIRFIELD, OH
44855-9520

Practice Phone: 419-677-6976
Practice Fax:

1871440180 — KATELYN WAGNER AGPCNP
Practice Location Address:

6740 SHAWNEE RD
NORTH TONAWANDA, NY
14120-9504

Practice Phone: 716-903-7229
Practice Fax:

1134165665 — MRS. KRISTIN DANIELLE FISHER P.A.
Practice Location Address:

445 TREMONT STREET
NORTH TONAWANDA, NY
14120-6150

Practice Phone: 716-690-2303
Practice Fax:

1356128797 — ERIN ELIZABETH HEALD
Practice Location Address:

525 WHEATFIELD ST STE 56
NORTH TONAWANDA, NY
14120-7034

Practice Phone: 716-245-4330
Practice Fax:

1235087776 — LIFT PEDIATRIC PHYSICAL THERAPY PLLC
Practice Location Address:

246 FREDERICKA ST
NORTH TONAWANDA, NY
14120-2613

Practice Phone: 716-201-0395
Practice Fax: 716-309-4310

Directions to “ GAIL E HOLLER-KENNEDY LMHC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.