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STEPHANIE EVON HOLLIS SUDRC
NPI 1295594547
Counselor - Addiction (Substance Use Disorder) in Oakland, CA

Active since March 18, 2024
3408 ANDOVER ST, OAKLAND, CA 94609(510) 393-4113(510) 487-2016 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie Evon Hollis Sudrc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE EVON HOLLIS SUDRC (NPI 1295594547) is an individual addiction (substance use disorder) provider in Oakland, California, licensed in California (17596) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1295594547
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSTEPHANIE EVON HOLLISCredential: SUDRC
Location Address3408 ANDOVER STOakland, CA 94609-2817
Mailing Address3408 Andover StOakland, CA 94609-2817 · (510) 393-4113 · Fax (510) 487-2016
Phone(510) 393-4113
Fax(510) 487-2016
Sole ProprietorNo
Enumeration DateMarch 18, 2024
NPPES CertifiedMarch 18, 2024
✔ NPI 1295594547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 17596
3408 ANDOVER ST, Oakland, CA 94609
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELBA DOUGLAS
Counselor (Addiction (Substance Use Disorder))
3408 ANDOVER ST
OAKLAND, CA 94609
Alameda County (510) 547-1531
LYNNETTE WILLIAMS SUDCC
Counselor (Addiction (Substance Use Disorder))
3408 ANDOVER ST
OAKLAND, CA 94609
Alameda County (510) 547-1531
MAGNOLIA WOMEN'S RECOVERY PROGRAMS, INC.
Substance Abuse Rehabilitation Facility
3408 ANDOVER ST
OAKLAND, CA 94609
Alameda County (510) 547-1531
ANNA DE LOURDES MCCONNELL
Counselor (Addiction (Substance Use Disorder))
3408 ANDOVER ST
OAKLAND, CA 94609
Alameda County (510) 551-3833
JULIA GREEN
Community Health Worker
3408 ANDOVER ST
OAKLAND, CA 94609
Alameda County (510) 547-1531
LAKEISHA ROSHUN DAWKINS
Counselor (Addiction (Substance Use Disorder))
3408 ANDOVER ST
OAKLAND, CA 94609
Alameda County (510) 547-1531
MARJORIE SILVERSE EDMOND SUDRC #8729
Counselor (Addiction (Substance Use Disorder))
3408 ANDOVER ST
OAKLAND, CA 94609
Alameda County (510) 547-1531
SHARAI NEFERTITI LAMBERT
Counselor (Addiction (Substance Use Disorder))
3408 ANDOVER ST
OAKLAND, CA 94609
Alameda County (510) 547-1531

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Hollis's NPI number?

The NPI number for Stephanie Hollis is 1295594547. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Where is Stephanie Hollis located?

Stephanie Hollis practices at 3408 Andover St, Oakland, CA 94609. The listed phone number is (510) 393-4113.

What is Stephanie Hollis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Stephanie Hollis was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.