Provider Demographics
NPI:1962694497
Name:SCHMIDT, HOLLY RENEE (LIMHP CPC)
Entity type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:RENEE
Last Name:SCHMIDT
Suffix:
Gender:
Credentials:LIMHP CPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:524 VERONA AVE
Mailing Address - Street 2:
Mailing Address - City:RAVENNA
Mailing Address - State:NE
Mailing Address - Zip Code:68869-1242
Mailing Address - Country:US
Mailing Address - Phone:308-440-3119
Mailing Address - Fax:
Practice Address - Street 1:524 VERONA AVE
Practice Address - Street 2:
Practice Address - City:RAVENNA
Practice Address - State:NE
Practice Address - Zip Code:68869-1242
Practice Address - Country:US
Practice Address - Phone:308-440-3119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-17
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2533101YP2500X, 101YP2500X
NE2228101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47077467428Medicaid