Provider Demographics
NPI:1376131342
Name:HOLLINSWORTH, HEATHER (MS, LPC)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:HOLLINSWORTH
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 BENJAMIN ST
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76207-7604
Mailing Address - Country:US
Mailing Address - Phone:214-454-1475
Mailing Address - Fax:214-856-3375
Practice Address - Street 1:17304 PRESTON RD # 831A
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-5618
Practice Address - Country:US
Practice Address - Phone:405-458-9408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-05
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81894101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1376131342OtherMENTAL AND BEHAVIORAL HEALTH