Provider Demographics
NPI:1730455916
Name:SWONKE, HOLLIE MCGEE (LPC-INTERN)
Entity type:Individual
Prefix:
First Name:HOLLIE
Middle Name:MCGEE
Last Name:SWONKE
Suffix:
Gender:F
Credentials:LPC-INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10142 DRIFTWOOD PARK DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-2455
Mailing Address - Country:US
Mailing Address - Phone:281-859-2117
Mailing Address - Fax:
Practice Address - Street 1:8955 HIGHWAY 6 N STE 150
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-2396
Practice Address - Country:US
Practice Address - Phone:281-855-1982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-01
Last Update Date:2012-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65656101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional