# HOLLY MADDY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154586394
- **Authorized official:** HOLLY ANN MADDY LCSW (OWNER)
- **Authorized official phone:** (859) 431-6333

## Contact information

- **Practice address:** 328 THOMAS MORE PKWY, UNIT 102, CRESTVIEW HILLS, KY 41017-3488
- **Practice address phone:** (859) 431-6333
- **Mailing address:** 328 THOMAS MORE PKWY, UNIT 102, CRESTVIEW HILLS, KY 41017-3488
- **Mailing address phone:** (859) 431-6333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 07/28/2008
- **Last updated:** 11/10/2023