Organization
HOLLY MADDY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY ANN MADDY LCSW (OWNER)
(859) 431-6333
Entity
Organization
Contact information
Practice address
328 THOMAS MORE PKWY, UNIT 102, CRESTVIEW HILLS, KY 41017-3488
(859) 431-6333
Mailing address
328 THOMAS MORE PKWY, UNIT 102, CRESTVIEW HILLS, KY 41017-3488
(859) 431-6333
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100924470
—
KY
05
—
82001017
—
KY
Enumeration date
07/28/2008
Last updated
11/10/2023
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