Individual
BEVERLY OHNECK HOLLY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.N., LCSW
Contact information
Practice address
115 N COLLEGE AVE, STE. 213, BLOOMINGTON, IN 47404-3972
(812) 333-8948
Mailing address
115 N COLLEGE AVE, STE. 213, BLOOMINGTON, IN 47404-3972
(812) 333-8948
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
34002760
IN
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
28043760
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000251127
ANTHEM
IN
Enumeration date
02/09/2006
Last updated
09/11/2025
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