Provider Demographics
NPI:1528339801
Name:HOLLIS, DEBORAH JOY (LMHC-S)
Entity type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:JOY
Last Name:HOLLIS
Suffix:
Gender:F
Credentials:LMHC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2014 PARTIN DRIVE
Mailing Address - Street 2:CROSSPOINT COUNSELING CENTER
Mailing Address - City:NICEVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32578
Mailing Address - Country:US
Mailing Address - Phone:850-279-4576
Mailing Address - Fax:
Practice Address - Street 1:2014 PARTIN DRIVE
Practice Address - Street 2:CROSSPOINT COUNSELING CENTER
Practice Address - City:NICEVILLE
Practice Address - State:FL
Practice Address - Zip Code:32578-2741
Practice Address - Country:US
Practice Address - Phone:850-279-4576
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-19
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 4795101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health