Individual
HOLLY MATTIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4601 66TH ST STE D, LUBBOCK, TX 79414-4875
(806) 630-0126
(806) 722-5225
Mailing address
4601 66TH ST STE D, LUBBOCK, TX 79414-4875
(806) 630-0126
(806) 722-5225
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
102224
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102224
LPC ASSOCIATE LICENSE
TX
Enumeration date
05/07/2026
Last updated
05/07/2026
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