Provider Demographics
NPI:1124464193
Name:HOLLAND, LINDSAY ERMINIA (LADC)
Entity type:Individual
Prefix:MS
First Name:LINDSAY
Middle Name:ERMINIA
Last Name:HOLLAND
Suffix:
Gender:F
Credentials:LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10765
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89510-0765
Mailing Address - Country:US
Mailing Address - Phone:775-358-1123
Mailing Address - Fax:775-358-9391
Practice Address - Street 1:420 S ROCK BLVD
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-5547
Practice Address - Country:US
Practice Address - Phone:775-358-1123
Practice Address - Fax:775-358-9391
Is Sole Proprietor?:No
Enumeration Date:2013-05-17
Last Update Date:2013-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVLADC 852-L101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)