Provider Demographics
NPI:1003513383
Name:HENRY, HOLLY PERKINS (LCMHCA)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:PERKINS
Last Name:HENRY
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:577 HAYWOOD RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-3559
Mailing Address - Country:US
Mailing Address - Phone:828-581-9200
Mailing Address - Fax:
Practice Address - Street 1:931 OLIVETTE RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-9676
Practice Address - Country:US
Practice Address - Phone:404-357-5757
Practice Address - Fax:828-544-1201
Is Sole Proprietor?:No
Enumeration Date:2023-02-08
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA18382101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional