IVANNA HOLLY - NPI 1992202279 - Peer Specialist in Brooklyn, NY

Q: What is Ivanna Holly's NPI number?

The NPI number for Ivanna Holly is 1992202279. It was assigned to this individual provider in the NPPES registry on April 12, 2018.

Q: What is Ivanna Holly's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Ivanna Holly was last updated on April 12, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ivanna Holly NPPES

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

IVANNA HOLLY (NPI 1992202279) is an individual peer specialist in Brooklyn, New York and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1992202279

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameIVANNA HOLLY

Location Address2037 UTICA AVEBrooklyn, NY 11234-3215

Mailing Address2037 Utica AveBrooklyn, NY 11234-3215 · (718) 377-5755

Phone(718) 377-5755

Sole ProprietorYes

Enumeration DateApril 12, 2018

✔ NPI 1992202279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

2037 UTICA AVE, Brooklyn, NY 11234

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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.

SAMUEL WILLARD FINAN LMSW

Social Worker (Clinical)