Provider Demographics
NPI:1699381657
Name:DEBORAH HOLT FAMILY THERAPY PLLC
Entity Type:Organization
Organization Name:DEBORAH HOLT FAMILY THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MARRIAGE&FAMILY THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LMFT-S
Authorized Official - Phone:817-575-7974
Mailing Address - Street 1:12720 HILLCREST RD STE 105
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-7120
Mailing Address - Country:US
Mailing Address - Phone:817-575-7974
Mailing Address - Fax:
Practice Address - Street 1:12720 HILLCREST RD STE 105
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-7120
Practice Address - Country:US
Practice Address - Phone:817-575-7974
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-16
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty