Organization
HOLLY W FITZGERALD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY W FITZGERALD LCSW (MS.)
(919) 942-4778
Entity
Organization
Contact information
Practice address
213 OXFORD HILLS DR, CHAPEL HILL, NC 27514-2131
(919) 942-4778
(919) 338-8044
Mailing address
213 OXFORD HILLS DR, CHAPEL HILL, NC 27514-2131
(919) 942-4778
(919) 338-8044
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C002252
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083697676
NPI
NC
01
—
2866729
MEDICARE
NC
01
—
32276
BCBS PPO
NC
05
—
6002883
—
NC
Enumeration date
05/27/2006
Last updated
11/09/2012
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