=====================================================
General NPI Number Information
=====================================================
NPI Number | 1720789100
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HOLLY BIGGS
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/13/2023
-----------------------------------------------------
Last Update Date | 03/13/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4235 HILLSBORO PIKE STE 300
-----------------------------------------------------
City | NASHVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37215-3344
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-334-3514
-----------------------------------------------------
Fax | 615-334-3514
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 229 CIRCLEVIEW DR N
-----------------------------------------------------
City | HURST
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76054-3623
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 615-414-3416
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 107431
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | LSW0000005931
-----------------------------------------------------
License Number State | TN
-----------------------------------------------------