Healthcare Provider Details

I. General information

NPI: 1134942741
Provider Name (Legal Business Name): HOLLY VOGT MARKS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2024
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

890 MOUNTAIN VIEW LN
PIPE CREEK TX
78063-5587
US

IV. Provider business mailing address

PO BOX 64012
PIPE CREEK TX
78063-4012
US

V. Phone/Fax

Practice location:
  • Phone: 800-383-4454
  • Fax: 210-352-9809
Mailing address:
  • Phone: 800-383-4454
  • Fax: 210-352-9809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number94084
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: