Individual ProviderKim HollingdaleMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address1328 Westwood Blvd Ste 35, Los Angeles, CA 90024-4931(310) 463-7640PECOS EnrollmentBased on the most recent information from CMS, provider Kim Hollingdale does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1144789397Provider TypeIndividualFull NameHollingdale, KimCredentialMFTGenderFemaleSole ProprietorYesEnumeration Date3/18/2019Last Updated3/18/2019Contact InformationPractice LocationPractice Address1328 Westwood Blvd Ste 35, Los Angeles, CA 90024-4931Phone(310) 463-7640FaxUnlisted FaxMailing LocationMailing Address1328 Westwood Blvd Ste 35, Los Angeles, CA 90024-4931PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer