# HOLLIE THERAPY AND COUNSELING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538928429
- **Authorized official:** DR. BRANDON DAVIS HOLLIE PH. D., MBA (OWNER/ CEO)
- **Authorized official phone:** (515) 509-8472

## Contact information

- **Practice address:** 4941 S CHAMPLAIN AVE APT 3, CHICAGO, IL 60615-2552
- **Practice address phone:** (315) 275-1675
- **Mailing address:** 4941 S CHAMPLAIN AVE APT 3, CHICAGO, IL 60615-2552
- **Mailing address phone:** (315) 275-1675

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |

## Other

- **Enumeration date:** 03/14/2024
- **Last updated:** 03/14/2024