Smith, Holly R

Smith, Holly R is an individual health care provider with primary practice located at 703 W Canal St , Picayune MS 39466-3918. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Smith, Holly R can be contacted via phone (601) 749-9477.

Contact Information

Primary practice address
703 W Canal St Picayune MS 39466-3918
Phone: (601) 749-9477
Fax: (601) 889-1265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X C2733 Mississippi
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X C2733 Mississippi

Profile Details

NPI number 1578729836
LBN Legal business name Smith, Holly R
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2008
Last updated Aug 5th, 2008 - about 17 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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