Provider Demographics
NPI:1356871560
Name:STEELY, HOLLY D (PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:D
Last Name:STEELY
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1232 FOREST CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:CORBIN
Mailing Address - State:KY
Mailing Address - Zip Code:40701-2325
Mailing Address - Country:US
Mailing Address - Phone:606-521-9896
Mailing Address - Fax:606-259-9407
Practice Address - Street 1:300 CARRERA DR
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741-6303
Practice Address - Country:US
Practice Address - Phone:606-260-8962
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-20
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3011394363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health