Provider Demographics
NPI:1033754551
Name:VAN HOLLAND, TAYLOR ANNE (LPC)
Entity type:Individual
Prefix:MRS
First Name:TAYLOR
Middle Name:ANNE
Last Name:VAN HOLLAND
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 MAIN AVE W STE 500
Mailing Address - Street 2:
Mailing Address - City:TWIN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83301-6580
Mailing Address - Country:US
Mailing Address - Phone:208-738-3147
Mailing Address - Fax:
Practice Address - Street 1:133 MAIN AVE W STE 500
Practice Address - Street 2:
Practice Address - City:TWIN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83301-6580
Practice Address - Country:US
Practice Address - Phone:208-738-3147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-07
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC-7527101YM0800X
ID7527101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health