Brenda Mae Hollis, is a
Social Worker based in Augusta, Georgia. Brenda Mae Hollis is licensed to practice in Georgia (license number MSW004452) and her current practice location is
1 Freedom Way, Augusta, Georgia. She can be reached at her office (for appointments etc.) via phone at
(706) 733-0188.
NPI number for Brenda Mae Hollis is 1144409798 and her current mailing address is 4133 Fox Brush Dr, Evans, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144409798.
Healthcare Provider's Profile
| Full Name | Brenda Mae Hollis |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 1 Freedom Way, Augusta, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1144409798
- Provider Enumeration Date: 10/31/2007
- Last Update Date: 10/31/2007
Medical Identifiers
Medical identifiers for Brenda Mae Hollis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144409798 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | LPC004721 (Georgia) | Secondary |
| 104100000X | Social Worker | MSW004452 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brenda Mae Hollis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brenda Mae Hollis,
4133 Fox Brush Dr,
Evans, GA 30809-4882
Ph: () - | Brenda Mae Hollis,
1 Freedom Way,
Augusta, GA 30904-6258
Ph: (706) 733-0188 |
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