Provider Demographics
NPI:1831557065
Name:HOLLIMAN, ARNITTA (MS, LPC)
Entity type:Individual
Prefix:MS
First Name:ARNITTA
Middle Name:
Last Name:HOLLIMAN
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N91W16015 JUNCTION WAY APT 212
Mailing Address - Street 2:
Mailing Address - City:MENOMONEE FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:53051-3160
Mailing Address - Country:US
Mailing Address - Phone:414-803-0849
Mailing Address - Fax:
Practice Address - Street 1:6789 N GREEN BAY AVE # U14
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:WI
Practice Address - Zip Code:53209-3472
Practice Address - Country:US
Practice Address - Phone:414-367-9298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-02
Last Update Date:2018-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6748-125101Y00000X, 101YP2500X, 101YM0800X
101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional