Individual
LATASHA NICOLE HOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
631 MILAM ST STE 103, SHREVEPORT, LA 71101-3534
(888) 918-7275
Mailing address
631 MILAM ST STE 103, SHREVEPORT, LA 71101-3534
(888) 918-7275
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PLC11023
LA
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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