Provider Demographics
NPI:1023122082
Name:PARTIN, HOLLY LEE (LPC, NBCC, MED)
Entity type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:LEE
Last Name:PARTIN
Suffix:
Gender:F
Credentials:LPC, NBCC, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 TIGER TAIL ROAD
Mailing Address - Street 2:
Mailing Address - City:SENECA
Mailing Address - State:SC
Mailing Address - Zip Code:29678
Mailing Address - Country:US
Mailing Address - Phone:864-654-7683
Mailing Address - Fax:
Practice Address - Street 1:1376 TIGER BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:CLEMSON
Practice Address - State:SC
Practice Address - Zip Code:29631-2652
Practice Address - Country:US
Practice Address - Phone:864-654-7848
Practice Address - Fax:864-654-5777
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2015-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4065101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional