Shawn Holland
Shawn Holland is a Mental Health Counselor in Amityville, New York. Qualified in 2018, 8 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 8
- Licensed in
- NY
- In the registry since
- 2015
Practice location Address checks out
21 Greene Ave # 204Amityville, NY 11701-2943
Phone: (516) 743-8571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 008697 (NY) |
|---|
Record details
| NPI number | 1760879688 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 17, 2015 |
| Last updated in NPPES | February 9, 2020 |
| Certification date | February 9, 2020 |
| Mailing address | 350 Mariners Way, Copiague, NY 11726-5113 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
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