Provider Demographics
NPI:1316589054
Name:MAGUIRE, HOLLY KATHRYN (LPCA)
Entity Type:Individual
Prefix:MS
First Name:HOLLY
Middle Name:KATHRYN
Last Name:MAGUIRE
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 NC 54 APT 404
Mailing Address - Street 2:
Mailing Address - City:CARRBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27510-1639
Mailing Address - Country:US
Mailing Address - Phone:919-972-1837
Mailing Address - Fax:
Practice Address - Street 1:201 NC 54 APT 404
Practice Address - Street 2:
Practice Address - City:CARRBORO
Practice Address - State:NC
Practice Address - Zip Code:27510-1639
Practice Address - Country:US
Practice Address - Phone:919-972-1837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-15
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA15212101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health