Individual
CAROL MURPHY HOLZHALB
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD, LCSW
Contact information
Practice address
100 SPRING ST, GAINESVILLE, GA 30501-2565
(770) 532-3700
(770) 532-0059
Mailing address
PO BOX 907217, GAINESVILLE, GA 30501-0904
(770) 532-3700
(770) 532-0059
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW001374
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000939111A
—
GA
01
—
007712
VALUE OPTIONS PIN#
GA
01
—
085070
MHN PIN #
GA
01
—
10752575
CAQH ID #
GA
01
—
4278571
AETNA ID #
GA
01
—
52470975
BCBS-GA ID #
GA
01
—
9166085
APS HEALTHCARE ID#
GA
01
—
H2080
KAISER #
GA
Enumeration date
04/27/2006
Last updated
07/09/2007
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