| Doctor Name: | HOLLIE CAROLINE REAGAN |
| NPI Number: | 1659648210 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 50097 |
| Business Practice Address: | 101 Deerglen Ave Universal City, TX - 781484031 |
| Business Phone Number: | 2106328250 |
| Business Fax Number: | 2106582043 |
| Mailing Address: | 3851 Roger Brooke Dr, Bamc -- Mch-eqd (creds) FORT SAM HOUSTON |
| State: | TX |
| Postal Code: | 782344501 |
| Phone Number: | 2109162460 |
| Fax Number: | |
| NPI Enumeration Date: | 11/28/2011 |
| NPI Last Update Date: | 11/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 50097 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |