Provider Demographics
NPI:1346489515
Name:COPE, HOLLIE NICOLE (LMT, CNMT)
Entity Type:Individual
Prefix:MS
First Name:HOLLIE
Middle Name:NICOLE
Last Name:COPE
Suffix:
Gender:F
Credentials:LMT, CNMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 W CRAWFORD ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30720-4201
Mailing Address - Country:US
Mailing Address - Phone:706-463-9925
Mailing Address - Fax:
Practice Address - Street 1:110 W CRAWFORD ST
Practice Address - Street 2:SUITE 201
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720-4201
Practice Address - Country:US
Practice Address - Phone:706-463-9925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-11
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMT004361174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist