Provider Demographics
NPI:1912478504
Name:HORAN, HOLLY ANN (LCSW-S, LCDC)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:ANN
Last Name:HORAN
Suffix:
Gender:F
Credentials:LCSW-S, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2339 COMMERCE ST STE 101
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-2319
Mailing Address - Country:US
Mailing Address - Phone:832-775-8003
Mailing Address - Fax:
Practice Address - Street 1:2339 COMMERCE ST STE 101
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-2319
Practice Address - Country:US
Practice Address - Phone:832-775-8003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-08
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14438101YA0400X
TX607901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)