Provider Demographics
NPI:1578306981
Name:GALLIER, HOLLY NICOLE (MED, LPC)
Entity type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:NICOLE
Last Name:GALLIER
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 DOWLEN RD STE B
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77706-6085
Mailing Address - Country:US
Mailing Address - Phone:409-866-5002
Mailing Address - Fax:
Practice Address - Street 1:150 DOWLEN RD STE B
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-6085
Practice Address - Country:US
Practice Address - Phone:409-866-5002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-13
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX89064101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional