Provider Demographics
NPI:1801422027
Name:COX, HOLLY (LMFT-ASSOCIATE)
Entity type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:
Last Name:COX
Suffix:
Gender:F
Credentials:LMFT-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2758 JEANETTE ST
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79602-5871
Mailing Address - Country:US
Mailing Address - Phone:325-692-0112
Mailing Address - Fax:
Practice Address - Street 1:2758 JEANETTE ST
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79602-5871
Practice Address - Country:US
Practice Address - Phone:325-692-0112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-19
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX203243106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist