Mattingly, Holly Anne
Mattingly, Holly Anne is an individual health care provider with primary practice located at 4605 Lake Trail Dr Apt 2B , Lisle IL 60532-1412. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mattingly, Holly Anne can be contacted via phone (630) 707-1799.Contact Information
Primary practice address
4605 Lake Trail Dr Apt 2B
Lisle IL 60532-1412
Phone: (630) 707-1799
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180.009307 | Illinois |
Profile Details
| NPI number | 1053631663 |
|---|---|
| LBN Legal business name | Mattingly, Holly Anne |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2010 |
| Last updated | Jun 2nd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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