Michael G. Holler, L.M.H.C.
Individual provider Active NPI Mental Health Counselor · Tavernier, FL
NPI 1023057791 · NPPES record last updated Sep 11, 2023
Key facts
- NPI
- 1023057791
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MH3670 (FL)
- Practice address
- 92330 Overseas Hwy Ste 103
Tavernier, FL 33070-2700 - Phone
- (305) 393-1230
- Fax
- (305) 852-7479
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH3670 | FL | MD | Mental Health Counselor |
| SW002767 | MO | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW002767 | MO | |
| Mental Health Counselor | 101YM0800X | MH3670 | FL | Yes |
Addresses
Primary practice location
92330 Overseas Hwy Ste 103
Tavernier, FL 33070-2700
Mailing address
127 Pirates Dr
Key Largo, FL 33037-2321
Phone (305) 393-1230
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All providers in Tavernier, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.