Provider Demographics
NPI:1275940819
Name:DEBORAH HOLLADAY COUNSELING, M.S., LPCC PSC
Entity Type:Organization
Organization Name:DEBORAH HOLLADAY COUNSELING, M.S., LPCC PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:HOLLADAY
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:502-599-3593
Mailing Address - Street 1:1426 RUTLAND CLUB CT
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40245-8415
Mailing Address - Country:US
Mailing Address - Phone:502-599-3593
Mailing Address - Fax:502-565-1887
Practice Address - Street 1:130 EVERGREEN RD
Practice Address - Street 2:SUITE 202
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40243-1489
Practice Address - Country:US
Practice Address - Phone:502-599-3593
Practice Address - Fax:502-565-1887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-15
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1066251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health