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NPI Code Detail

MEDICARE: HOLLY E EDDY LMFT

MEDICARE: HOLLY E EDDY LMFT
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
1106H00000XMarriage & Family Therapist204064TX

General Provider Information

NPI Number : 1841077682
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLLY E EDDY LMFT
Provider Business Mailing Address
First Line : 1100 PARKER SQ STE 245
Second Line :
City : FLOWER MOUND
State : TX
Zip : 75028-7459
Country : US
Telephone Number : 972-899-1848
Fax Number :
Provider Business Practice Location Address
First Line : 1100 PARKER SQ STE 245
Second Line :
City : FLOWER MOUND
State : TX
Zip : 75028-7459
Country : US
Telephone Number : 972-899-1848
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2023
Last Update Date : 09/14/2023

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Directions to “ HOLLY E EDDY LMFT” Practice Location

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