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
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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