Provider Demographics
NPI:1164299830
Name:HOLLAS, NORA LINA (LPC)
Entity Type:Individual
Prefix:
First Name:NORA
Middle Name:LINA
Last Name:HOLLAS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 HOLLYWOOD DR
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-7308
Mailing Address - Country:US
Mailing Address - Phone:972-467-7676
Mailing Address - Fax:
Practice Address - Street 1:8330 LBJ FWY STE 185
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-1567
Practice Address - Country:US
Practice Address - Phone:972-302-9616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88736101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health