Provider Demographics
NPI:1043673668
Name:HOLLAND FAMILY COUNSELING LLC
Entity type:Organization
Organization Name:HOLLAND FAMILY COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:BORDENKIRCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-594-0810
Mailing Address - Street 1:490 CENTURY LN
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49423-2220
Mailing Address - Country:US
Mailing Address - Phone:616-594-0810
Mailing Address - Fax:616-794-8600
Practice Address - Street 1:490 CENTURY LN
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-2220
Practice Address - Country:US
Practice Address - Phone:616-594-0810
Practice Address - Fax:616-794-8600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-31
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health