Organization
THE HOLLY CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YOLONDA ELAINE STONE-COWAN LCSW (OWNER/CLINICAL SOCIAL WORKER)
(931) 401-1599
Entity
Organization
Contact information
Practice address
130 HILLCREST DR, 203, CLARKSVILLE, TN 37043-5064
(931) 401-1599
(931) 401-1220
Mailing address
264 FANTASIA WAY, CLARKSVILLE, TN 37043-1536
(931) 401-1599
(931) 401-1220
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790164382
NPI
TN
05
—
Q013271
—
TN
Enumeration date
09/10/2015
Last updated
10/14/2015
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