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Organization
HOLLIE THERAPY AND COUNSELING LLC
Active
Organization
HOLLIE THERAPY AND COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON DAVIS HOLLIE PH. D., MBA (OWNER/ CEO)
(515) 509-8472
Entity
Organization
Contact information
Practice address
4941 S CHAMPLAIN AVE APT 3, CHICAGO, IL 60615-2552
(315) 275-1675
Mailing address
4941 S CHAMPLAIN AVE APT 3, CHICAGO, IL 60615-2552
(315) 275-1675
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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