Doctor Name: | MRS. HOLLY LYNN HORN |
NPI Number: | 1265779946 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCA |
License Number: | A9929 |
Business Practice Address: | 112 Boyd Rd Clover, SC - 297109788 |
Business Phone Number: | 8032225997 |
Business Fax Number: | |
Mailing Address: | 112 Boyd Road, CLOVER |
State: | SC |
Postal Code: | 29710 |
Phone Number: | 8032225997 |
Fax Number: | |
NPI Enumeration Date: | 01/15/2013 |
NPI Last Update Date: | 01/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | A9929 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |