Healthcare Provider Details

I. General information

NPI: 1356969398
Provider Name (Legal Business Name): HOLLIE LYNN ZINN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2020
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 W NORTH ST
OSTRANDER OH
43061-9014
US

IV. Provider business mailing address

5169 THOMPSON LN
DELAWARE OH
43015-9326
US

V. Phone/Fax

Practice location:
  • Phone: 614-219-9104
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberI.2506741
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.2506741
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: