| Brenda B Hollis, Lpc, Pc | |
|
1626 Frederica Rd Suite 203 St Simons Island GA 31522-2529 | |
| (912) 638-0180 | |
| (912) 638-0181 |
| Full Name | Brenda B Hollis, Lpc, Pc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1626 Frederica Rd, St Simons Island, Georgia |
| Authorized Official Name and Position | Brenda B Hollis (OWNER) |
| Authorized Official Contact | 9126380180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda B Hollis, Lpc, Pc Po Box 21133 St Simons Island GA 31522-0633 Ph: (912) 638-0180 | Brenda B Hollis, Lpc, Pc 1626 Frederica Rd Suite 203 St Simons Island GA 31522-2529 Ph: (912) 638-0180 |
| NPI Number | 1407058175 |
|---|---|
| Provider Enumeration Date | 06/04/2007 |
| Last Update Date | 11/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407058175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC000819 (Georgia) | Primary |
William W. Daniels, Jr., M.d., Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2927 Demere Rd, St Simons Island, GA 31522 Phone: 912-634-1050 Fax: 912-634-9111 | |
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David L Patterson, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 911 Ocean Blvd, St Simons Island, GA 31522 Phone: 912-638-2724 Fax: 912-638-2409 | |
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