Provider Demographics
NPI:1639984636
Name:HARTNETT, HOLLACE CRAVEN (RMHCI)
Entity type:Individual
Prefix:
First Name:HOLLACE
Middle Name:CRAVEN
Last Name:HARTNETT
Suffix:
Gender:F
Credentials:RMHCI
Other - Prefix:
Other - First Name:LACEY
Other - Middle Name:
Other - Last Name:HARTNETT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, RMHCI
Mailing Address - Street 1:600 UNIVERSITY OFFICE BLVD STE 13A
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-6247
Mailing Address - Country:US
Mailing Address - Phone:850-805-8733
Mailing Address - Fax:
Practice Address - Street 1:600 UNIVERSITY OFFICE BLVD STE 13A
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-6247
Practice Address - Country:US
Practice Address - Phone:850-805-8733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-08
Last Update Date:2025-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH27095101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health