Organization Active NPI

Holland Behavioral and Therapeutic Services

  • Clinical Social Worker
  • Jacksonville, FL
National Provider Identifier
1740993773
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HOLLAND BEHAVIORAL AND THERAPEUTIC SERVICES
Practice address
4318 Lexington Ave
Jacksonville, FL 32210-2125
Phone
(904) 316-2906
NPI assigned
Jan 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Authorized official

Name
Ms. Chelita Ronita Holland, LCSWNPI 1073057709
Title
Owner
Phone
(904) 316-2906

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4318 Lexington Ave
Jacksonville, FL 32210-2125

Mailing address

4318 Lexington Ave
Jacksonville, FL 32210-2125
Phone (904) 316-2906

Other names 1

  • HollandBTS Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address HollandBTS@outlook.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1740993773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 LEXINGTON AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102125",
            "telephone_number": "904-316-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4318 LEXINGTON AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102125",
            "telephone_number": "904-316-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLAND BEHAVIORAL AND THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "CHELITA",
        "authorized_official_middle_name": "RONITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-316-2906",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HollandBTS@outlook.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "hollandbts@outlook.com",
            "address_1": "4318 Lexington Ave",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322102125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "HollandBTS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.