Provider Demographics
NPI:1790205839
Name:HOLOP, HEATHER S (LCSW)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:S
Last Name:HOLOP
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10485 HELEY ST
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34608-3729
Mailing Address - Country:US
Mailing Address - Phone:727-456-9919
Mailing Address - Fax:352-681-4438
Practice Address - Street 1:10485 HELEY ST
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34608-3729
Practice Address - Country:US
Practice Address - Phone:727-456-9919
Practice Address - Fax:352-681-4438
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-20
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL165021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical