| Holland Initiative, Inc. | |
|
5779 Getwell Rd Bldg. D, Suite 3 Southaven MS 38672-6347 | |
| (662) 510-6507 | |
| (662) 510-6508 |
| Full Name | Holland Initiative, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5779 Getwell Rd, Southaven, Mississippi |
| Authorized Official Name and Position | April A Holland (OWNER) |
| Authorized Official Contact | 6625106507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holland Initiative, Inc. 2951 Red Banks Rd N Byhalia MS 38611-7982 Ph: (662) 510-6507 | Holland Initiative, Inc. 5779 Getwell Rd Bldg. D, Suite 3 Southaven MS 38672-6347 Ph: (662) 510-6507 |
| NPI Number | 1245504042 |
|---|---|
| Provider Enumeration Date | 02/27/2012 |
| Last Update Date | 02/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245504042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1362 (Mississippi) | Primary |
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