Hollys Peterson, LAC is a
Social Worker based in Devils Lake, North Dakota. Hollys Peterson is licensed to practice in North Dakota (license number 1886) and her current practice location is
200 Highway 2 W, Devils Lake, North Dakota. She can be reached at her office (for appointments etc.) via phone at
(701) 665-2200.
NPI number for Hollys Peterson is 1700960739 and her current mailing address is Po Box 650, Devils Lake, North Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700960739.
Healthcare Provider's Profile
| Full Name | Hollys Peterson |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 200 Highway 2 W, Devils Lake, North Dakota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1700960739
- Provider Enumeration Date: 10/25/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Hollys Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700960739 | NPI | - | NPPES |
| 027662 | Other | ND | BCBS PIN |
| 054518 | Medicaid | ND | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1547 (North Dakota) | Primary |
| 104100000X | Social Worker | 1886 (North Dakota) | 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. Hollys Peterson 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 |
|---|
Hollys Peterson, LAC
Po Box 650,
Devils Lake, ND 58301-0650
Ph: (701) 665-2200 | Hollys Peterson, LAC
200 Highway 2 W,
Devils Lake, ND 58301-3532
Ph: (701) 665-2200 |
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