Hollychase, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

HOLLYCHASE, LLC

Practice address

190 N Evergreen Ave Ste 202
Woodbury, NJ 08096-1862

Phone

(856) 942-4414

NPI assigned

Jan 15, 2018

Organization subpart

No

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

Authorized official

Name

Matthew D. Lawrence-Evans, MSW, LCSWNPI 1902356496

Title

Owner / Therapist

Phone

(856) 942-4414

Specialties & licenses 1

Addresses

Other names 1

• Matthew Lawrence-Evans LCSW, LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew D. Lawrence-Evans, LCSW

  • Clinical Social Worker
  • Woodbury, NJ
  • NPI 1902356496
  NPD (past) Authorized official

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519344000000",
    "number": "1285142000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 123",
            "city": "BELLMAWR",
            "state": "NJ",
            "postal_code": "080990123",
            "telephone_number": "856-942-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 N EVERGREEN AVE STE 202",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961862",
            "telephone_number": "856-942-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYCHASE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-15",
        "last_updated": "2018-02-23",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE-EVANS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER / THERAPIST",
        "authorized_official_telephone_number": "856-942-4414",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matthew Lawrence-Evans LCSW, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Hills, LCSW
• Loan Kim Hoang
• Zachary Hobson
• Ashley Hoffman, APN
• Ryan Holak, LSW
• Chris Hong, DO
• Lisa Howey
• Jude Hudock, M.D.
• Marie A. Hulse Cowan, LMFT
• Emily Humphreys, BCBA

• Mental Health Clinic/Center (Including Community Mental Health Center) in Woodbury, NJ
• Providers in Woodbury, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; 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.