Provider Demographics
NPI:1871389460
Name:HOLOWACZ, EUGENE (PHD)
Entity type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:
Last Name:HOLOWACZ
Suffix:
Gender:
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2040 BRICE RD STE 160
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-3456
Mailing Address - Country:US
Mailing Address - Phone:614-407-4125
Mailing Address - Fax:
Practice Address - Street 1:2040 BRICE RD STE 160
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-3456
Practice Address - Country:US
Practice Address - Phone:614-407-4125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty