Provider Demographics
NPI:1972378859
Name:HEATHER HOLZHAUSER, LCSW PLLC
Entity Type:Organization
Organization Name:HEATHER HOLZHAUSER, LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLZHAUSER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:708-628-7345
Mailing Address - Street 1:2944 S. HARLEM AVE
Mailing Address - Street 2:UNIT 2
Mailing Address - City:RIVERSIDE
Mailing Address - State:IL
Mailing Address - Zip Code:60546
Mailing Address - Country:US
Mailing Address - Phone:708-628-7345
Mailing Address - Fax:
Practice Address - Street 1:2944 S. HARLEM AVE
Practice Address - Street 2:UNIT 2
Practice Address - City:RIVERSIDE
Practice Address - State:IL
Practice Address - Zip Code:60546
Practice Address - Country:US
Practice Address - Phone:708-628-7345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-20
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty