Shalandra Hollins, MS, LMFTA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

12070A Issued in NC

Practice address

3125 Poplarwood CT Ste 203
Raleigh, NC 27604-6445

Phone

(919) 808-8812

NPI assigned

Dec 12, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Serene Life Counseling & Wellness, PLLC

  • Marriage & Family Therapist
  • Raleigh, NC
  • NPI 1629748785
  NPD Authorized official

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1861907974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3064 WAKE FOREST RD # 1027",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097844",
            "telephone_number": "919-335-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 POPLARWOOD CT STE 203",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276046445",
            "telephone_number": "919-808-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINS",
        "first_name": "SHALANDRA",
        "credential": "MS, LMFTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-12",
        "last_updated": "2021-10-27",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "12070A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reonetta M Holliman, MA
• Michael Christian Hollingshead, M.D.
• Brian Steven Hollingsworth, LCMHC
• Julia L Hollingsworth, MS OTR L
• Taylor Hollingsworth, RD, LDN
• Amanda Lynn Hollis, RN
• Peter Wright Hollis, O.D.
• Anna Holloman
• Emmy Clark Holloman, M.S., CRC, LCAS-P
• Kristen Farmer Holloman

• Marriage & Family Therapist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.