Lisa Holland, CADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1660 Issued in AR

Practice address

6009 C W Post Rd
Jonesboro, AR 72401-8139

Phone

(870) 932-0228

Fax

(870) 910-5689

NPI assigned

Oct 3, 2017

Last updated

Oct 3, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Crowley's Ridge Development Council Inc.

  dba Northeast Arkansas Regional Recovery Center

  • Professional Counselor
  • Jonesboro, AR
  • NPI 1194425793
  NPD (past)
• Crowley's Ridge Development Council, Inc.

  dba Northeast Arkansas Regional Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Jonesboro, AR
  • NPI 1114365988
  NPD (past)

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506988800000",
    "number": "1306356415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9178",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728119178",
            "telephone_number": "866-641-1552",
            "fax_number": "479-968-1673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6009 C W POST RD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724018139",
            "telephone_number": "870-932-0228",
            "fax_number": "870-910-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "LISA",
        "credential": "CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2017-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AR",
            "license": "1660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colby Wells Holladay, DC
• Tracy Michelle Holladay, APRN
• Anna Holland
• Kelsea Holland
• Kenny R Holland
• Malcolm Leon Holland II, CRNA
• Rainey Kennedy Holland, COTA/L
• Tiffany Holland
• Andrew Hollis
• Savannah Hollis

• Addiction (Substance Use Disorder) Counselor in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Addiction (Substance Use Disorder) Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; 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.