Holt, Bryan
Holt, Bryan is an sole proprietor health care provider with primary practice located at 45 N Lapeer St , Lake Orion MI 48362-3159. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Holt, Bryan can be contacted via phone (248) 693-9614.Contact Information
Primary practice address
45 N Lapeer St
Lake Orion MI 48362-3159
Phone: (248) 693-9614
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 6401016193 | Michigan |
Profile Details
| NPI number | 1780109520 |
|---|---|
| LBN Legal business name | Holt, Bryan |
| Credentials | LLPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2017 |
| Last updated | Jul 21st, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780109520 | NPPES |
| Michigan | Other | 1588841787 | TREESIDE |
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