Provider Demographics
NPI:1306729413
Name:HOLLAND, IVAN (MSE)
Entity type:Individual
Prefix:
First Name:IVAN
Middle Name:
Last Name:HOLLAND
Suffix:
Gender:M
Credentials:MSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 DAPHNE CT
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-4400
Mailing Address - Country:US
Mailing Address - Phone:302-598-2499
Mailing Address - Fax:
Practice Address - Street 1:ROSE HILL COMMUNITY CENTER
Practice Address - Street 2:19 LAMBSON LANE
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720
Practice Address - Country:US
Practice Address - Phone:302-510-6706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health