Provider Demographics
NPI:1831455492
Name:MORIN, HOLLY JASMINE (LCPC, LCMHC, NCC)
Entity type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:JASMINE
Last Name:MORIN
Suffix:
Gender:F
Credentials:LCPC, LCMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 MIDDLE ST STE 201 #318
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04101
Mailing Address - Country:US
Mailing Address - Phone:207-331-8772
Mailing Address - Fax:207-331-8852
Practice Address - Street 1:16 MIDDLE ST STE 201 #318
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04101
Practice Address - Country:US
Practice Address - Phone:207-331-8772
Practice Address - Fax:207-331-8852
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-09
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC4430101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty