Provider Demographics
NPI:1841077682
Name:EDDY, HOLLY E (LMFT)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:E
Last Name:EDDY
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 1:1100 PARKER SQ STE 245
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-7459
Mailing Address - Country:US
Mailing Address - Phone:972-899-1848
Mailing Address - Fax:
Practice Address - Street 1:1100 PARKER SQ STE 245
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-7459
Practice Address - Country:US
Practice Address - Phone:972-899-1848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX204064106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist