Provider Demographics
NPI:1699837336
Name:HOLADAY, KATHARINE EILEEN (LLP LPC LMSW)
Entity type:Individual
Prefix:MS
First Name:KATHARINE
Middle Name:EILEEN
Last Name:HOLADAY
Suffix:
Gender:F
Credentials:LLP LPC LMSW
Other - Prefix:MS
Other - First Name:KATE
Other - Middle Name:
Other - Last Name:HOLADAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LLP LPC LMSW
Mailing Address - Street 1:1350 CLIMAX AVENUE
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49006
Mailing Address - Country:US
Mailing Address - Phone:269-271-2415
Mailing Address - Fax:
Practice Address - Street 1:309 W. WALNUT STREET
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49007
Practice Address - Country:US
Practice Address - Phone:269-271-2415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301011349103T00000X
MI6401006539101Y00000X
MI6801080892104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No104100000XBehavioral Health & Social Service ProvidersSocial Worker