Healthcare Provider Details

I. General information

NPI: 1225794993
Provider Name (Legal Business Name): HOLLY GRACE CURRIE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. HOLLY GRACE PALMER

II. Dates (important events)

Enumeration Date: 11/16/2021
Last Update Date: 10/24/2024
Certification Date: 10/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 GEER RD STE 120
TURLOCK CA
95382-2456
US

IV. Provider business mailing address

PO BOX 2679
TURLOCK CA
95381-2679
US

V. Phone/Fax

Practice location:
  • Phone: 209-664-8044
  • Fax: 209-664-8036
Mailing address:
  • Phone: 209-543-5392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number126765
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: