Provider Demographics
NPI:1447532528
Name:EVERS, HOLLY V (MS, LPC)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:V
Last Name:EVERS
Suffix:
Gender:
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 W ORBIT DR
Mailing Address - Street 2:
Mailing Address - City:GUTHRIE
Mailing Address - State:OK
Mailing Address - Zip Code:73044-6303
Mailing Address - Country:US
Mailing Address - Phone:405-590-5072
Mailing Address - Fax:
Practice Address - Street 1:123 1/2 N DIVISION ST
Practice Address - Street 2:
Practice Address - City:GUTHRIE
Practice Address - State:OK
Practice Address - Zip Code:73044-3240
Practice Address - Country:US
Practice Address - Phone:405-590-5072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-14
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4845101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health