Whalio Doctors

NPI 1376958199

Gloria Temple Holland, MALSWLMFT

Practitioner Marriage & Family Therapist Tupelo, MS

Practice location

Address
4579 S Eason Blvd, Tupelo, MS 38801-6539
Phone
(662) 377-2865
Fax
(662) 377-2844
Mailing address
247 Old Planters Rd, Plantersville, MS 38862-6200

Registered specialties (2)

Marriage & Family Therapist Primary
Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence T0068 (MS)
Social Worker
Behavioral Health & Social Service Providers Taxonomy 104100000X Licence W0111 (MS)

Registry record

NPI
1376958199
Entity type
Individual
Sex (as registered)
Female
NPI issued
1 Jul 2014
Record last updated
1 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.