Provider Demographics
NPI:1902019953
Name:WEBB, HOLLY LEN (LPC, LCDC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:LEN
Last Name:WEBB
Suffix:
Gender:F
Credentials:LPC, LCDC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5737 MACDOUGALL DRIVE
Mailing Address - Street 2:
Mailing Address - City:HALTOM CITY
Mailing Address - State:TX
Mailing Address - Zip Code:76148
Mailing Address - Country:US
Mailing Address - Phone:214-893-7576
Mailing Address - Fax:
Practice Address - Street 1:1500 C N NORWOOD DRIVE
Practice Address - Street 2:STE 306
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76054
Practice Address - Country:US
Practice Address - Phone:214-893-7576
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9259101YA0400X
TX20258101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional