Gloria Temple Holland, MA, LSW, LMFT

Individual provider Active NPI Marriage & Family Therapist · Tupelo, MS

NPI 1376958199 · NPPES record last updated Sep 8, 2026

Key facts

NPI
1376958199
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
T0068 (MS)
Practice address
1893 Cliff Gookin Blvd
Tupelo, MS 38801-6558
Phone
(662) 584-5097
Fax
(662) 495-4079
NPI assigned
Jul 1, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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

Medicare Care Compare profile

Specialty
Marriage and Family Therapist
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heale Counseling LLC (32 clinicians)

Practice addresses (Care Compare)

302 S Spring St
Tupelo, MS 38804-4853
Phone (662) 205-0098

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20241120002003 MS Practitioner - Marriage and Family Therapist 8325334014 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
T0068MSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Heale Counseling, LLC Current
since Nov 1, 2024
Accepting new patients

Locations

302 S Spring St
Tupelo, MS 38804
Phone (662) 841-8020

1893 Cliff Gookin Blvd
#B
Tupelo, MS 38801
Phone (662) 346-4584

302 S Spring St
Ste B
Tupelo, MS 38804

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X T0068 MS Yes
Social Worker 104100000X W0111 MS

Addresses

Primary practice location

1893 Cliff Gookin Blvd
Tupelo, MS 38801-6558

Mailing address

247 Old Planters Rd
Plantersville, MS 38862-6200
Phone (662) 377-2865

Other practice location 1

302 S Spring St
Tupelo, MS 38804-4822
Phone (662) 584-5097

Other providers in Tupelo, MS

All providers in Tupelo, MS · Marriage & Family Therapist in Mississippi

Sources for this page

Verify at the official NPI Registry.