MEDICARE: HOLLY NICOLE SEISS LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1033872270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOLLY NICOLE SEISS LMSW

Provider Business Mailing Address
First Line	:	104 FOX CHASE
Second Line	:
City	:	LEXINGTON
State	:	SC
Zip	:	29072-7990
Country	:	US
Telephone Number	:	843-615-2528
Fax Number	:

Provider Business Practice Location Address
First Line	:	1433 GREGG ST
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29201-3527
Country	:	US
Telephone Number	:	803-799-0331
Fax Number	:	803-799-0334

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2021
Last Update Date	:	10/14/2021

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Directions to “ HOLLY NICOLE SEISS LMSW” Practice Location

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