Doctor Name: | MS. MARY M HOLMAN |
NPI Number: | 1619048212 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 18573 |
Business Practice Address: | 4601 Spicewood Springs Rd Bldg 4, Suite 200 Austin, TX - 787598598 |
Business Phone Number: | 5122310164 |
Business Fax Number: | 5122768958 |
Mailing Address: | 2604 W 48th St, AUSTIN |
State: | TX |
Postal Code: | 787315602 |
Phone Number: | 5125854899 |
Fax Number: | |
NPI Enumeration Date: | 11/13/2006 |
NPI Last Update Date: | 08/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 18573 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |