Provider Demographics
NPI:1285304840
Name:HOLLABAUGH, SKYLAR (LMHC)
Entity type:Individual
Prefix:
First Name:SKYLAR
Middle Name:
Last Name:HOLLABAUGH
Suffix:
Gender:
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 CARLOTA WAY
Mailing Address - Street 2:
Mailing Address - City:SAINT AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32095-0069
Mailing Address - Country:US
Mailing Address - Phone:904-274-1887
Mailing Address - Fax:239-423-0763
Practice Address - Street 1:42 CARLOTA WAY
Practice Address - Street 2:
Practice Address - City:SAINT AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32095-0069
Practice Address - Country:US
Practice Address - Phone:904-274-1887
Practice Address - Fax:239-423-0763
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-15
Last Update Date:2025-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health