Provider Demographics
NPI:1326306143
Name:HOLEC, PIA ALEXANDRA (PSYD)
Entity Type:Individual
Prefix:
First Name:PIA
Middle Name:ALEXANDRA
Last Name:HOLEC
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22124 W PLYMOUTH CIR
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60544-7085
Mailing Address - Country:US
Mailing Address - Phone:815-483-5777
Mailing Address - Fax:
Practice Address - Street 1:22124 W PLYMOUTH CIR
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60544-7085
Practice Address - Country:US
Practice Address - Phone:815-483-5777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-30
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No251S00000XAgenciesCommunity/Behavioral Health