HOLLY IVIE


Address: 149 S Main St, Phoenix, OR 97535-6631
Phone: 5415354133

HOLLY IVIE (NPI# 1851934533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851934533
Entity Type Individual
Full Name HOLLY IVIE
Practice Address 149 S Main St
Phoenix
OR 97535-6631
Mailing Address 1840 Kimberly Dr
Klamath Falls
OR 97603-5332
Practice Telephone 5415354133
Mailing Telephone 5418511857
Enumeration Date 2019-10-24
Last Update Date 2019-10-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Office Location

Street Address 149 S MAIN ST
City PHOENIX
State OR
Zip Code 97535-6631

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871110023 Zhawen Wahpepah Counselor 149 S Main St, Phoenix, OR 97535-6631 2020-07-02
1871110304 Melissa Chapman Counselor 149 S Main St, Phoenix, OR 97535-6631 2020-06-30
1679190565 Sarah Grubbs Counselor 149 S Main St, Phoenix, OR 97535-6631 2020-06-26
1881211696 Mario Guzman Counselor 149 S Main St, Phoenix, OR 97535-6631 2020-06-26
1144847039 Trinity Okzana Leonis Counselor 149 S Main St, Phoenix, OR 97535-6631 2020-06-26
1386284685 Alysse Lynette Kelly Peer Specialist 149 S Main St, Phoenix, OR 97535-6631 2020-01-14
1558905000 Dirk William Stafford Counselor 149 S Main St, Phoenix, OR 97535-6631 2019-10-28
1275176398 Emily E Hinman Counselor 149 S Main St, Phoenix, OR 97535-6631 2019-10-21
1225687668 Mary Kate Regan Counselor 149 S Main St, Phoenix, OR 97535-6631 2019-09-09
1053967570 Shelby Bryne Smith Counselor 149 S Main St, Phoenix, OR 97535-6631 2019-08-12
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417318577 Brent M Gordon Counselor 5505 S Pacific Hwy, Phoenix, OR 97535 2016-03-16
1740649821 Elizabeth Van Driel Counselor 149 N Main Street, Phoenix, OR 97535 2016-02-17
1740611458 William Allen Haden Jr. Social Worker 106 N. Rose Street, Phoenix, OR 97535 2013-12-05
1528396470 Sarah Bly Midwife, Lay 509 5th St., Phoenix, OR 97535 2009-12-03
1992961239 Stephen J Brummett Counselor 482 Elm St, Phoenix, OR 97535 2008-08-06
1568680577 Christine Carolyn Robinson Chiropractor 721 N. Main St., Space A, Phoenix, OR 97535 2007-04-23
1982729539 Daniel Jansen Counselor 215 N Rose St, Phoenix, OR 97535 2007-03-20
1770196016 La Clinica Del Valle Family Healthcare Center Inc. Clinic/Center 106 N. Rose Street, Phoenix, OR 97535 2020-08-26
1760972160 Jennifer L Burke Counselor 149 N Main Street, Phoenix, OR 97535 2018-05-11
1124552872 Desiree Thompson Counselor 149 N Main St, Phoenix, OR 97535 2017-04-19
Find all providers in zip 97535

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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1346858883 Heather Romero Counselor 110 W Camelback Rd Ste 200, Phoenix, AZ 85013-2564 2020-07-21
1134747546 Arcadian Homes, LLC Counselor 5924 W Trumbull Rd, Phoenix, AZ 85043-1967 2020-07-13
1902423023 Danielle Jeanette Le Blanc Counselor 3228 W Silver Sage Ln, Phoenix, AZ 85083-5866 2020-07-06
1366060477 Rising Phoenix Neighborhood Counselor 202 E Earll Dr Unit 360-35, Phoenix, AZ 85012-2634 2020-07-06
1043832504 Candice Marie Isaacson Counselor 2911 W Sunnyside Dr, Phoenix, AZ 85029-3302 2020-05-07
1639799356 Harbor Health Counselor 3213 S 66th Ave, Phoenix, AZ 85043-1922 2020-04-22
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Competitor

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City PHOENIX
Zip Code 97535

Improve Information

Please comment or provide details below to improve the information on HOLLY IVIE.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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