Organization
HOLLEY THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE HOLLEY (PLMHP)
(402) 242-5542
Entity
Organization
Contact information
Practice address
301 S 70TH ST STE 335, LINCOLN, NE 68510-2469
(402) 242-5542
Mailing address
301 S 70TH ST STE 335, LINCOLN, NE 68510-2469
(402) 242-5542
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10027519600
—
NE
01
—
1841911682
NPI
NE
Enumeration date
12/02/2022
Last updated
06/26/2024
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