Debra Holloway, M.A., LMHC
Individual provider Active NPI Mental Health Counselor · Harvard, MA
NPI 1619166303 · NPPES record last updated May 15, 2008
Key facts
- NPI
- 1619166303
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 6557 (MA)
- Practice address
- 233 Ayer Rd
Harvard, MA 01451-1131 - Phone
- (978) 772-3070
- NPI assigned
- Oct 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6557 | MA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6557 | MA | Yes |
Addresses
Primary practice location
233 Ayer Rd
Harvard, MA 01451-1131
Mailing address
233 Ayer Rd
Harvard, MA 01451-1131
Phone (978) 660-6825
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All providers in Harvard, MA · Mental Health Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.