Holly Jean Line is a Mental Health in Brainerd, Minnesota. Holly Jean Line practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Holly Jean Line is 1801958897. The last update date is 2010-01-08.
Holly Jean Line's current location address is 520 Nw 5th St, Brainerd, Minnesota. You can contact this provider via phone number 2188293235. The mailing address for Holly Jean Line is 520 Nw 5th St, Brainerd, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Holly Jean Line |
|---|---|
| Address | 520 Nw 5th St, Brainerd, Minnesota |
| Phone Number | 2188293235 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPCC |
NPI Number Detail
| NPI Number | 1801958897 |
|---|---|
| Provider Enumeration Date | 2006-12-15 |
| Last Updated Date | 2010-01-08 |
Provider Mailing Address Detail
| Address | 520 Nw 5th St |
|---|---|
| City | Brainerd |
| State | Minnesota (MN) |
| Post Code | 564012902 |
| Phone Number | 2188293235 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | CC00002 |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1044529 | MN | PREFERRED ONE | |
| 00N15LI | MN | BLUE CROSS BLUE SHIELD | |
| 1801958897 | MN | UCARE | |
| 1801958897 | MN | HEALTH PARTNERS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Holly Jean Line by the Centers for Medicare & Medicaid Services?
The Holly Jean Line has been assigned the NPI (National Provider Identifier) 1801958897 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Holly Jean Line's facilities are situated?
The facilities of Holly Jean Line are physically located at the following address: 520 Nw 5Th St, Brainerd, MN, 564012902.
What is Holly Jean Line's specialized field of practice, and what is the corresponding taxonomy classification code?
The Holly Jean Line's area of specialization is Mental Health, and the corresponding taxonomy code that categorizes this field of practice is 101Ym0800X.
On what date did the Holly Jean Line receive its 1801958897 assignment from the Centers for Medicare & Medicaid Services?
The Holly Jean Line was assigned its 1801958897 by the Centers for Medicare & Medicaid Services on 2006-12-15.
When was the information pertaining to Holly Jean Line most recently updated or revised?
The details related to Holly Jean Line, including its address, specialty, and other relevant information, were last updated or revised on 2010-01-08.
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