Provider Demographics
NPI:1457783961
Name:HOLLIS, WEILAND RICHARD (LPC)
Entity type:Individual
Prefix:MR
First Name:WEILAND
Middle Name:RICHARD
Last Name:HOLLIS
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8420 S CONTINENTAL DIVIDE RD
Mailing Address - Street 2:SUITE 225
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-4253
Mailing Address - Country:US
Mailing Address - Phone:303-904-0867
Mailing Address - Fax:866-280-2925
Practice Address - Street 1:8420 S CONTINENTAL DIVIDE RD
Practice Address - Street 2:SUITE 225
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-4253
Practice Address - Country:US
Practice Address - Phone:303-904-0867
Practice Address - Fax:866-280-2925
Is Sole Proprietor?:No
Enumeration Date:2013-08-07
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6260101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional