Provider Demographics
NPI:1053001016
Name:ORELLANA, HOLLY ANN ESTOPINAL (MS, PLPC)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:ANN ESTOPINAL
Last Name:ORELLANA
Suffix:
Gender:F
Credentials:MS, PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 RUE CANARD
Mailing Address - Street 2:
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70592-5109
Mailing Address - Country:US
Mailing Address - Phone:985-640-8069
Mailing Address - Fax:
Practice Address - Street 1:19 RIDGEWAY DRIVE
Practice Address - Street 2:SUITE B-1
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503
Practice Address - Country:US
Practice Address - Phone:337-735-7492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-11
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA9546101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty