Edward Holly
Counselor, Mental Health in Las Vegas, NV. Individual provider (NPI-1).
NPI number1932071990
StatusActive
Last updated in NPPESSep 19, 2025
Details
- NPI
- 1932071990
- Entity type
- Individual (NPI-1)
- Name
- Edward Holly
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 19, 2025
- Certification date
- Sep 19, 2025
- Last updated
- Sep 19, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | C15209 | NV | Yes |
Practice location
3680 N Rancho DrLas Vegas, NV 89130-3180
Phone 702-646-5437
Mailing address
9340 Shawnee Mission AveLas Vegas, NV 89178-5514
Phone 702-275-5567
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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