Healthcare Provider Details

I. General information

NPI: 1245145044
Provider Name (Legal Business Name): HOLLY PERKINS LBSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5305 NW 89TH CT
JOHNSTON IA
50131-1747
US

IV. Provider business mailing address

5305 NW 89TH CT
JOHNSTON IA
50131-1747
US

V. Phone/Fax

Practice location:
  • Phone: 515-710-3591
  • Fax:
Mailing address:
  • Phone:
  • Fax: 515-710-3591

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: