Provider Demographics
NPI:1942553425
Name:MCDANIEL, HOLLIE HUNDLEY (LCSW)
Entity Type:Individual
Prefix:
First Name:HOLLIE
Middle Name:HUNDLEY
Last Name:MCDANIEL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:422 KADE ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:JENNINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70546-3657
Mailing Address - Country:US
Mailing Address - Phone:337-616-3482
Mailing Address - Fax:337-616-9399
Practice Address - Street 1:422 KADE ST
Practice Address - Street 2:SUITE 4
Practice Address - City:JENNINGS
Practice Address - State:LA
Practice Address - Zip Code:70546-3657
Practice Address - Country:US
Practice Address - Phone:337-616-3482
Practice Address - Fax:337-616-9399
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-20
Last Update Date:2012-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
47261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical