CANDIS ANNE HOLLOMAN (NPI# 1871824524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871824524 |
| Entity Type | Individual |
| Full Name | CANDIS ANNE HOLLOMAN |
| Credential | CPCI |
| Practice Address |
189 S State St Ste 160 Clearfield UT 84015-1061 |
| Practice Telephone | 8017732044 |
| Practice Fax Number | 8017734826 |
| Mailing Telephone | 8017732044 |
| Mailing Fax Number | 8017734826 |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2010-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
7201227-6009 | UT | Behavioral Health & Social Service Providers |
| Street Address |
189 S STATE ST STE 160 |
| City | CLEARFIELD |
| State | UT |
| Zip Code | 84015-1061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700842069 | James Todd Northrop | Counselor | 189 S State St, Clearfield, UT 84015-1061 | 2006-04-25 |
| 1740731223 | Tiffany Trump | Social Worker | 189 S State St, Clearfield, UT 84015-1061 | 2016-10-19 |
| 1427403856 | Sara Albertson | Counselor | 189 S State St, Suite 222, Clearfield, UT 84015-1061 | 2016-05-04 |
| 1093179731 | Chelsea Wallace | Counselor | 189 S State St, Suite 222, Clearfield, UT 84015-1061 | 2016-04-08 |
| 1093176679 | Zachary Allen | Counselor | 189 S State St, Suite 222, Clearfield, UT 84015-1061 | 2016-03-10 |
| 1740640986 | Mykol Liava'a | Counselor | 189 S State St, Suite 222, Clearfield, UT 84015-1061 | 2016-03-01 |
| 1609236108 | Laurie Harris | Counselor | 189 S State St, Suite 222, Clearfield, UT 84015-1061 | 2016-02-26 |
| 1821458522 | Mason Garner | Counselor | 189 S State St, Suite 222, Clearfield, UT 84015-1061 | 2016-02-24 |
| 1255790457 | Joshua Johnston | Counselor | 189 S State St, Suite 222, Clearfield, UT 84015-1061 | 2016-02-16 |
| 1871952366 | Sadee Sholly | Counselor | 189 S State St, Suite 222, Clearfield, UT 84015-1061 | 2016-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235751900 | Roe Rx Inc | Pharmacy | 145 S 3000 W, West Point, UT 84015 | 2020-05-15 |
| 1619459104 | Jaime W Jones | Registered Nurse | 412 North 4950 West, West Point, UT 84015 | 2018-08-31 |
| 1295272557 | Wendy Fleming | Registered Nurse | 22 So. State Street, Davis County Health Dept, Clearfield, UT 84015 | 2017-01-25 |
| 1871041707 | Megan Claire Mannen | Optometrist | 1448 N 2000 W Ste 3, Clinton, UT 84015 | 2016-09-20 |
| 1093118291 | April Riney | Counselor | 189 S State St Ste 235b, Clearfield, UT 84015 | 2014-10-01 |
| 1457779381 | Katherine Olsen | Registered Nurse | 22 S. State St., Clearfield, UT 84015 | 2014-03-28 |
| 1336560218 | Lauren April Call | Registered Nurse | 22 S. State St, Clearfield, UT 84015 | 2013-12-19 |
| 1568803377 | John Gaspare Rino | Physical Therapist | 29 C St, Clearfield, UT 84015 | 2013-07-09 |
| 1912243247 | Clinton Dental Group, LLP | Dentist | 1737 North 2000 West, Suite G, Clinton, UT 84015 | 2012-12-13 |
| 1639441264 | Kim I Beus | Nurse Practitioner | 383 E 1900 S, Clearfield, UT 84015 | 2012-01-27 |
| Find all providers in zip 84015 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093118291 | April Riney | Counselor | 189 S State St Ste 235b, Clearfield, UT 84015 | 2014-10-01 |
| 1275858789 | Joseph T. Salazar | Counselor | 958 W 25 N, Clearfield, UT 84015-9206 | 2010-03-29 |
| 1821159062 | Diane Lyn Lyle | Counselor | 706 River Rd, Clearfield, PA 16830-2958 | 2006-12-12 |
| 1952472557 | Vera E. Christensen | Counselor | 1105 S State St, Clearfield, UT 84015-1818 | 2006-11-13 |
| 1578579520 | Serianna Brewer Cox | Counselor | 1785 E 1450 S Ste 300, Clearfield, UT 84015-2299 | 2006-07-31 |
| 1386614790 | Rebecca Rose Sorg-myers | Counselor | 118 E Market St, Clearfield, PA 16830-2406 | 2006-01-26 |
| 1649825977 | Melinda M Holland | Counselor | 60 Industrial Park Rd, Clearfield, PA 16830-6016 | 2019-08-05 |
| 1316439144 | Andi Catherine | Counselor | 49 E 200 S, Clearfield, UT 84015-1047 | 2018-06-06 |
| 1366942880 | Brittney Olsen | Counselor | 49 E 200 S, Clearfield, UT 84015-1047 | 2018-02-21 |
| 1639695414 | Ryan J Molgard | Counselor | 387 E 450 S, Clearfield, UT 84015-1734 | 2017-08-14 |
| Find all providers in CLEARFIELD | ||||
| City | CLEARFIELD |
| Zip Code | 84015 |
Please comment or provide details below to improve the information on CANDIS ANNE HOLLOMAN.
| 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.