Provider Demographics
NPI:1013167998
Name:HOLGUIN, ZOEY GREER (LMFT, IMFT-S)
Entity type:Individual
Prefix:MS
First Name:ZOEY
Middle Name:GREER
Last Name:HOLGUIN
Suffix:
Gender:F
Credentials:LMFT, IMFT-S
Other - Prefix:MS
Other - First Name:ZOEY
Other - Middle Name:GREER
Other - Last Name:ARANT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:IMFT
Mailing Address - Street 1:325 PARK PL
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44022-4414
Mailing Address - Country:US
Mailing Address - Phone:440-836-3186
Mailing Address - Fax:
Practice Address - Street 1:325 PARK PL
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44022-4414
Practice Address - Country:US
Practice Address - Phone:440-836-3186
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-26
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC49351106H00000X
OHF.1500009-SUPV106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0180634Medicaid