Provider Demographics
NPI:1609212489
Name:HOLT, TERRY LEE II (MS, MA, LPC-MHSP-S)
Entity type:Individual
Prefix:MR
First Name:TERRY
Middle Name:LEE
Last Name:HOLT
Suffix:II
Gender:M
Credentials:MS, MA, LPC-MHSP-S
Other - Prefix:MR
Other - First Name:T.L.
Other - Middle Name:
Other - Last Name:HOLT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, MA, LPC-MHSP-S
Mailing Address - Street 1:9724 KINGSTON PIKE STE 601
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-6900
Mailing Address - Country:US
Mailing Address - Phone:865-696-1699
Mailing Address - Fax:
Practice Address - Street 1:9724 KINGSTON PIKE STE 601
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-6900
Practice Address - Country:US
Practice Address - Phone:865-696-1699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-20
Last Update Date:2025-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3010101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional