Hollis Mental Health Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PSY202138 Issued in ID

Legal business name

HOLLIS MENTAL HEALTH SERVICES LLC

Practice address

620 S Idaho Ave
Fruitland, ID 83619-2607

Phone

(208) 452-7190

Fax

(208) 452-5819

NPI assigned

Jul 13, 2009

Last updated

Jan 24, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Nela J Hollis, LPC, NCCNPI 1720392863

Title

Owner

Phone

(208) 452-7190

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nela Joy Hollis, MS SE

  • Counselor
  • Fruitland, ID
  • NPI 1720392863
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1225267149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 S IDAHO AVE",
            "city": "FRUITLAND",
            "state": "ID",
            "postal_code": "836192607",
            "telephone_number": "208-452-7190",
            "fax_number": "208-452-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S IDAHO AVE",
            "city": "FRUITLAND",
            "state": "ID",
            "postal_code": "836192607",
            "telephone_number": "208-452-7190",
            "fax_number": "208-452-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLIS MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-13",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "HOLLIS",
        "authorized_official_first_name": "NELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-452-7190",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "ID",
            "license": "PSY202138",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "PSY202138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley James Heninger, PA-C
• Ryan David Hillam, DDS
• Chrystel Schortau Hohmann, LMT
• Michael Joseph Hoilien, DO
• Kourtney Holder, DNP, FNP-C
• Nela Joy Hollis, MS SE
• Jaclyn R Hope
• Nicole K Hoyt, PA-C
• Idaho Oral Surgery PLLC
• Idaho Orthotic Prosthetic Services, Inc

• Community/Behavioral Health Agency in Fruitland, ID
• Providers in Fruitland, ID by specialty
• Community/Behavioral Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.