Doctor Name: | MRS. HOLLY LEE PARTIN |
NPI Number: | 1023122082 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, NBCC, M.ED |
License Number: | 4065 |
Business Practice Address: | 1376 Tiger Blvd Suite 210 Clemson, SC - 296312652 |
Business Phone Number: | 8646547848 |
Business Fax Number: | 8646545777 |
Mailing Address: | 415 Tiger Tail Road, SENECA |
State: | SC |
Postal Code: | 29678 |
Phone Number: | 8646547683 |
Fax Number: | |
NPI Enumeration Date: | 08/18/2006 |
NPI Last Update Date: | 12/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 4065 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |