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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548247851 NPPES
Texas MEDICAID 155106101
Texas Other 89297L
Texas MEDICAID 115106102

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