Individual
HOLLY J WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C./MHSP
Contact information
Practice address
1432 W MAIN ST, SUITE 402, LEBANON, TN 37087-1323
(615) 444-1880
Mailing address
191 GREEN HILL RD, PLEASANT SHADE, TN 37145-3342
(615) 774-3223
(615) 774-3223
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC0000002579
TN
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3376955
GROUP MEDICARE
TN
Enumeration date
08/06/2007
Last updated
11/16/2010
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