Provider Demographics
NPI:1407214133
Name:LOUISE HOLLOWAY MFT
Entity Type:Organization
Organization Name:LOUISE HOLLOWAY MFT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LOUISE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HOLLOWAY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:415-233-0079
Mailing Address - Street 1:1118 PEAR TREE LN
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-3063
Mailing Address - Country:US
Mailing Address - Phone:415-233-0079
Mailing Address - Fax:
Practice Address - Street 1:709 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-2920
Practice Address - Country:US
Practice Address - Phone:707-255-0966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-09
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33720251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health