Provider Demographics
NPI:1821623869
Name:MEYER, HOLLY (LMFT)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:
Last Name:MEYER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25655 180TH ST
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:50619-9110
Mailing Address - Country:US
Mailing Address - Phone:319-989-5400
Mailing Address - Fax:866-611-9407
Practice Address - Street 1:25655 180TH ST
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:IA
Practice Address - Zip Code:50619-9110
Practice Address - Country:US
Practice Address - Phone:319-596-5910
Practice Address - Fax:866-611-9407
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-10
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
095357106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist