| Holly J. Horsley | |
|
319 W 10th St Ste 103 Owensboro KY 42301-2950 | |
| (270) 993-9738 | |
| (270) 297-4977 |
| Full Name | Holly J. Horsley |
|---|---|
| Speciality | Social Worker |
| Location | 319 W 10th St Ste 103, Owensboro, Kentucky |
| Authorized Official Name and Position | Holly J Horsley (OWNER/THERAPIST) |
| Authorized Official Contact | 2709939738 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holly J. Horsley 2457 S Kozy Dr Rockport IN 47635-8723 Ph: (270) 993-9738 | Holly J. Horsley 319 W 10th St Ste 103 Owensboro KY 42301-2950 Ph: (270) 993-9738 |
| NPI Number | 1205327657 |
|---|---|
| Provider Enumeration Date | 05/22/2018 |
| Last Update Date | 05/30/2023 |
| Certification Date | 05/30/2023 |
| Medicare PECOS PAC ID | 2860749314 |
|---|---|
| Medicare Enrollment ID | O20180716001708 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205327657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 5117 (Kentucky) | Primary |
| Provider Name | Holly J Horsley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992120232 PECOS PAC ID: 6406145309 Enrollment ID: I20160517000587 |
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