Holly Lark

Primary specialty

Social WorkerTaxonomy code 104100000X

License

64418 Issued in TX

Practice address

790 Austin St
Houston, TX 77002-3627

Phone

(713) 942-1960

NPI assigned

Apr 4, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eddins Counseling Group, PLLC

  • Mental Health Counselor
  • Houston, TX
  • NPI 1528490364

  Social Worker

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1255893541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 AUSTIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770023627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 AUSTIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770023627",
            "telephone_number": "713-942-1960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Lovett Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770063908",
            "country_code": "US",
            "telephone_number": "775-857-8479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5225 Katy Fwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770072263",
            "country_code": "US",
            "telephone_number": "832-559-2622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARK",
        "first_name": "HOLLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "64418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessa Marie Laricci, NP
• Gregory Larimer, M.D.
• Katheryn Massey Larimore
• Mariana Yaneht Larios
• Britney Marie Larive, LPC ASSOCIATE
• Larka Inc
• Andrew Thomas Larkin, D.O.
• Kelly Jean Larkin, M.D.
• Lindsay Rebecca Larkin, M.S. CCC-SLP
• Larkin, Stroh & Associates PLLC

• Social Worker in Houston, TX
• Providers in Houston, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.