Provider Demographics
NPI:1396271193
Name:HOLLAND-PEREZ, SHARON
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:HOLLAND-PEREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 CASTILLO ST # 201
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-3406
Mailing Address - Country:US
Mailing Address - Phone:805-335-1200
Mailing Address - Fax:805-695-3505
Practice Address - Street 1:510 CASTILLO ST # 201
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-3406
Practice Address - Country:US
Practice Address - Phone:805-335-1200
Practice Address - Fax:805-695-3505
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374U00000X
CA104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No374U00000XNursing Service Related ProvidersHome Health Aide