Provider Demographics
NPI:1336328731
Name:HOLT, JANET (LPC)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:HOLT
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 1:44 TOLEDO DR
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS VILLAGE
Mailing Address - State:AR
Mailing Address - Zip Code:71909-2856
Mailing Address - Country:US
Mailing Address - Phone:501-538-4596
Mailing Address - Fax:501-318-0774
Practice Address - Street 1:3822 N HIGHWAY 7
Practice Address - Street 2:SUITE 5
Practice Address - City:HOT SPRINGS VILLAGE
Practice Address - State:AR
Practice Address - Zip Code:71909-9605
Practice Address - Country:US
Practice Address - Phone:501-538-4596
Practice Address - Fax:501-318-0774
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-01
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11424101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional