Organization
HEATHER L. HOLCOMB, LSCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER L HOLCOMB LSCSW (OWNER)
(316) 300-5787
Entity
Organization
Contact information
Practice address
8100 E 22ND ST N, BUILDING 100 SUITE 2, WICHITA, KS 67226-2388
(316) 300-5787
(316) 337-5481
Mailing address
8100 E 22ND ST N, BUILDING 100 SUITE 2, WICHITA, KS 67226-2388
(316) 300-5787
(316) 337-5481
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2259
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070952
MEDICARE PTAN #
KS
01
—
1205945474
INDIVIDUAL NPI NUMBER
KS
Enumeration date
06/22/2016
Last updated
06/28/2016
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