Mickie Holland, LPCC, LBSW is a
Social Worker based in Hobbs, New Mexico. Mickie Holland is licensed to practice in New Mexico (license number B0424) and her current practice location is
920 W Broadway St, Hobbs, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 393-3168.
NPI number for Mickie Holland is 1679642375 and her current mailing address is 920 W Broadway St, Hobbs, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679642375.
Healthcare Provider's Profile
| Full Name | Mickie Holland |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 920 W Broadway St, Hobbs, New Mexico |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1679642375
- Provider Enumeration Date: 11/07/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Mickie Holland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679642375 | NPI | - | NPPES |
| 46300 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 006101 (New Mexico) | Primary |
| 103TS0200X | Psychologist - School | 280435 (New Mexico) | Primary |
| 104100000X | Social Worker | B0424 (New Mexico) | 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. Mickie Holland 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 |
|---|
Mickie Holland, LPCC, LBSW
920 W Broadway St,
Hobbs, NM 88240-5529
Ph: (505) 393-3168 | Mickie Holland, LPCC, LBSW
920 W Broadway St,
Hobbs, NM 88240-5529
Ph: (505) 393-3168 |
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