HOLLAN PUGH (NPI# 1235761677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235761677 |
| Entity Type | Individual |
| Full Name | HOLLAN PUGH |
| Credential | LMHC |
| Practice Address |
116 Bay St Daytona Beach FL 32114-3234 |
| Practice Telephone | 3862447763 |
| Mailing Telephone | 3865897833 |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
MH10323 | FL | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
MH10323 | FL | Behavioral Health & Social Service Providers |
| Street Address |
116 BAY ST |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114-3234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871826396 | Linda Faye Williams | Social Worker | 116 Bay St, Daytona Beach, FL 32114-3234 | 2009-09-16 |
| 1821629536 | Front Porch Counseling | Clinic/Center | 116 Bay St, Daytona Beach, FL 32114-3234 | 2020-01-31 |
| 1811289358 | Arbor Vitae Natural Health Care, LLC | Clinic/Center | 116 Bay St, Daytona Beach, FL 32114-3234 | 2011-05-03 |
| 1487978565 | Deborah Helayne Yost | Social Worker | 116 Bay St, Daytona Beach, FL 32114-3234 | 2010-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710278189 | Vanessa Harvey-lents | Counselor | 901 Madison Ave, Daytona Beach, FL 32114-1811 | 2011-04-20 |
| 1023678539 | Chester Wilson Jr. | Counselor | 240 N Frederick Ave, Daytona Beach, FL 32114-3400 | 2019-06-17 |
| 1720646094 | Glenn Wilbur Scanes Jr. | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2019-06-03 |
| 1962900324 | Catherin Grace O'neill | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2018-01-31 |
| 1720586498 | Maria Zavala | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2018-01-29 |
| 1821596495 | Annette Margaret Gerardi | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2018-01-29 |
| 1629576897 | Jessica Shaffer | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2018-01-23 |
| 1740797794 | Alexis Katholiki-eleni Skopos | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2017-12-29 |
| 1437665403 | Laura Coe | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2017-12-28 |
| 1942716923 | Maureen Cone | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2017-12-28 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.