The Holly Center, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE HOLLY CENTER, PLLC

Practice address

130 Hillcrest Dr
203
Clarksville, TN 37043-5064

Phone

(931) 401-1599

Fax

(931) 401-1220

NPI assigned

Sep 10, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Yolonda Elaine Stone-Cowan, LCSWNPI 1790164382

Title

Owner/Clinical Social Worker

Phone

(931) 401-1599

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yolonda Elaine Stone-Cowan, LCSW

  • Clinical Social Worker
  • Clarksville, TN
  • NPI 1790164382
  NPD (past) Authorized official

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1750759544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 FANTASIA WAY",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370431536",
            "telephone_number": "931-401-1599",
            "fax_number": "931-401-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HILLCREST DR",
            "address_2": "203",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435064",
            "telephone_number": "931-401-1599",
            "fax_number": "931-401-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HOLLY CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "STONE-COWAN",
        "authorized_official_first_name": "YOLONDA",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER/CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "931-401-1599",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1790164382",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q013271",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Community/Behavioral Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.