Provider Demographics
NPI:1174948327
Name:HYLER, HOLLY MARIE (LMHC)
Entity type:Individual
Prefix:MS
First Name:HOLLY
Middle Name:MARIE
Last Name:HYLER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MRS
Other - First Name:HOLLY
Other - Middle Name:MARIE
Other - Last Name:SHEPHEARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:NEW SEASONS
Mailing Address - Street 2:2500 MAITLAND CENTER PARKWAY STE 250
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751
Mailing Address - Country:US
Mailing Address - Phone:877-284-7074
Mailing Address - Fax:
Practice Address - Street 1:NEW SEASONS
Practice Address - Street 2:2500 MAITLAND CENTER PARKWAY STE 250
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751
Practice Address - Country:US
Practice Address - Phone:877-284-7074
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-25
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH12358101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health