Provider Demographics
NPI:1538227210
Name:HOLOWICKI, LAURA I (LPCC)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:I
Last Name:HOLOWICKI
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7649 BRIDLESPUR LN
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-9357
Mailing Address - Country:US
Mailing Address - Phone:740-881-3082
Mailing Address - Fax:614-888-3246
Practice Address - Street 1:6649 N HIGH ST STE 106
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-4004
Practice Address - Country:US
Practice Address - Phone:614-888-7211
Practice Address - Fax:614-888-3246
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0002134101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional