West, Holly J

West, Holly J is an sole proprietor health care provider with primary practice located at 1432 W Main St Suite 402, Lebanon TN 37087-1323. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. West, Holly J can be contacted via phone (615) 444-1880.

Contact Information

Primary practice address
1432 W Main St Suite 402 Lebanon TN 37087-1323
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC0000002579 Tennessee
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1760673727
LBN Legal business name West, Holly J
Credentials L.P.C./MHSP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2007
Last updated Nov 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760673727 NPPES
Tennessee Other 3376955 GROUP MEDICARE

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