Provider Demographics
NPI:1962017814
Name:HOLLIS, SUMMER A (LPC)
Entity Type:Individual
Prefix:
First Name:SUMMER
Middle Name:A
Last Name:HOLLIS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 PIONEER PATH
Mailing Address - Street 2:
Mailing Address - City:OAK POINT
Mailing Address - State:TX
Mailing Address - Zip Code:75068-1692
Mailing Address - Country:US
Mailing Address - Phone:214-308-1594
Mailing Address - Fax:
Practice Address - Street 1:4801 FRANKFORD RD STE 300
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75287-5329
Practice Address - Country:US
Practice Address - Phone:214-308-1594
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-08
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81229101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health