Holland, Mickie

Holland, Mickie is an individual health care provider with primary practice located at 920 W Broadway St , Hobbs NM 88240-5529. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Holland, Mickie can be contacted via phone (505) 393-3168.

Contact Information

Primary practice address
920 W Broadway St Hobbs NM 88240-5529
Phone: (505) 393-3168
Fax: (505) 397-4659
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 006101 New Mexico
Behavioral Health & Social Service Providers / School 103TS0200X 280435 New Mexico
Behavioral Health & Social Service Providers / Social Worker 104100000X B0424 New Mexico

Profile Details

NPI number 1679642375
LBN Legal business name Holland, Mickie
Credentials LPCC, LBSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679642375 NPPES
New Mexico MEDICAID 46300

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