Nance, Holly R
Nance, Holly R is an individual health care provider with primary practice located at 1200 Circle Dr , Fort Worth TX 76119-8112. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Nance, Holly R can be contacted via phone (817) 480-4873.Contact Information
Primary practice address
1200 Circle Dr
Fort Worth TX 76119-8112
Phone: (817) 480-4873
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 18040 | Texas |
Profile Details
| NPI number | 1548247851 |
|---|---|
| LBN Legal business name | Nance, Holly R |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2005 |
| Last updated | Oct 28th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548247851 | NPPES |
| Texas | MEDICAID | 155106101 | |
| Texas | Other | 89297L | |
| Texas | MEDICAID | 115106102 |
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