Robin Holland
Individual provider Active NPI Mental Health Counselor · Beaver, WV
NPI 1699400655 · NPPES record last updated Jul 22, 2022
Key facts
- NPI
- 1699400655
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 4232 Grandviewroad
Beaver, WV 25813 - Phone
- (304) 250-4210
- NPI assigned
- Jul 22, 2022
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | WV | Yes |
Addresses
Primary practice location
4232 Grandviewroad
Beaver, WV 25813
Mailing address
PO Box 952
Fayetteville, WV 25840-0952
Phone (304) 640-4832
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174141121 | Medicaid | WV |
Other providers in Beaver, WV
- Constance Harvey
- Emily Jay Harvey
- Bradlea Hayhurst
- Emily Heatherly
- William Hodges
- Timothy David Hontz
- Amy Jackson
- Hannah E Jones
- Brian Kidd
- Leah Kidd
All providers in Beaver, WV · Mental Health Counselor in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2022. 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.