Brenda B Hollis, LPC, PC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC000819 Issued in GA

Legal business name

BRENDA B HOLLIS, LPC, PC

Practice address

1626 Frederica Rd
Suite 203
St Simons Island, GA 31522-2529

Phone

(912) 638-0180

Fax

(912) 638-0181

NPI assigned

Jun 4, 2007

Last updated

Nov 12, 2007By 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. Brenda B Hollis, LPCNPI 1912019084

Title

Owner

Phone

(912) 638-0180

Specialties & licenses 1

Addresses

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.

• Brenda B Hollis, LPC

  • Professional Counselor
  • St Simons Island, GA
  • NPI 1912019084
  NPD (past) Authorized official

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194825600000",
    "number": "1407058175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21133",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315220633",
            "telephone_number": "912-638-0180",
            "fax_number": "912-638-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 FREDERICA RD",
            "address_2": "SUITE 203",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222529",
            "telephone_number": "912-638-0180",
            "fax_number": "912-638-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA B HOLLIS, LPC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-11-12",
        "status": "A",
        "authorized_official_last_name": "HOLLIS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-638-0180",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC000819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Hodges Bowen, FNP-C
• Robert W Bowen, M.D.
• Kevin D Boyer, D.M.D.
• Jacqueline Diane Braga
• Sophia Braswell
• Laura Ann Brennan
• Mark Thomas Brinson, D.O.M.,A.P.,C.N.M.T.
• Brissey Management Trust (Brissey Chiropractic)
• Rachel Skipper Brissey, D.C.
• Heather Suzanne Brock, PA

• Professional Counselor in St Simons Island, GA
• Providers in St Simons Island, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; 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.