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NPI Code Detail

MEDICARE: PEGGY HOLT MS, LPC

MEDICARE: PEGGY HOLT MS, LPC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor13127TX
2101YP2500XProfessional Counselor75044TX

General Provider Information

NPI Number : 1902281710
Entity Type Code : Individual
Provider Name (Legal Business Name) : PEGGY HOLT MS, LPC
Provider Business Mailing Address
First Line : 1403 N TRAIL DR
Second Line :
City : CARROLLTON
State : TX
Zip : 75006-1418
Country : US
Telephone Number : 972-998-6821
Fax Number :
Provider Business Practice Location Address
First Line : 7777 FOREST LN STE C528
Second Line :
City : DALLAS
State : TX
Zip : 75230-6848
Country : US
Telephone Number : 972-770-1032
Fax Number : 469-484-2126
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2015
Last Update Date : 10/18/2019

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