Organization
BRENDA B HOLLIS, LPC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA B HOLLIS LPC (OWNER)
(912) 638-0180
Entity
Organization
Contact information
Practice address
1626 FREDERICA RD, SUITE 203, ST SIMONS ISLAND, GA 31522-2529
(912) 638-0180
(912) 638-0181
Mailing address
PO BOX 21133, ST SIMONS ISLAND, GA 31522-0633
(912) 638-0180
(912) 638-0181
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC000819
GA
Other
Enumeration date
06/04/2007
Last updated
11/12/2007
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