HOLLY SKINNER LLC (NPI# 1083117782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083117782 |
| Entity Type | Organization |
| Organization Name | HOLLY SKINNER LLC |
| Practice Address |
1 W Sunbridge Dr Fayetteville AR 72703-1825 |
| Practice Telephone | 4794435575 |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-03-09 |
| Authorized Official Name | HOLLY SKINNER (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Telephone | 4178949832 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
P1801008 | AR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1437589777 | 01 |
| Street Address |
1 W SUNBRIDGE DR |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-1825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427081454 | Susan L Shackelford | Psychologist | 1 W Sunbridge Dr, Fayetteville, AR 72703-1825 | 2006-07-10 |
| 1215403977 | Danell Will, Lpc, LLC | Counselor | 1 W Sunbridge Dr, Fayetteville, AR 72703-1825 | 2018-10-22 |
| 1336630052 | Danell Will | Counselor | 1 W Sunbridge Dr, Fayetteville, AR 72703-1825 | 2018-05-29 |
| 1336645902 | Meghan E Murphy Phd | Psychologist | 1 W Sunbridge Dr, Fayetteville, AR 72703-1825 | 2018-04-03 |
| 1659821783 | Meghan E Murphy Phd | Psychologist | 1 W Sunbridge Dr, Fayetteville, AR 72703-1825 | 2016-10-13 |
| 1538513221 | Dr C S Rofkahr Pllc | Psychologist | 1 W Sunbridge Dr, Fayetteville, AR 72703-1825 | 2016-04-19 |
| 1679965982 | Meghan Murphy | Psychologist | 1 W Sunbridge Dr, Fayetteville, AR 72703-1825 | 2015-02-23 |
| 1972906303 | Lauri Balk Psyd Pllc | Psychologist | 1 W Sunbridge Dr, Fayetteville, AR 72703-1825 | 2014-09-30 |
| 1790106508 | Shields Therapy LLC | Counselor | 1 W Sunbridge Dr, Fayetteville, AR 72703-1825 | 2013-12-20 |
| 1396174801 | Downing Neuropsychological Services, Pllc | Clinical Neuropsychologist | 1 W Sunbridge Dr, Fayetteville, AR 72703-1825 | 2013-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619583432 | Don Del-raye Jones | Counselor | 521 Rempstone Ln, Fayetteville, NC 28311-5501 | 2020-09-17 |
| 1023628278 | Quadiedra Amos | Counselor | 3675 Fallstaff Dr, Fayetteville, NC 28306-9079 | 2020-08-03 |
| 1699385963 | William Jones | Counselor | 4250 Clinton Rd Ste 102, Fayetteville, NC 28312-8517 | 2020-08-03 |
| 1952919573 | Bianca Thomas | Counselor | 2713 Lake Club Dr, Fayetteville, NC 28304-5349 | 2020-07-20 |
| 1962029546 | Deanna Dale Dunn | Counselor | 767 W North St Ste 112, Fayetteville, AR 72701-1865 | 2020-06-30 |
| 1053937490 | Balance Ground Counseling LLC | Counselor | 240 Lofty Eagle Ln, Fayetteville, GA 30214-3531 | 2020-06-22 |
| 1659994010 | Martanika Michelle Smith | Counselor | 351 Wagoner Dr Ste 105, Fayetteville, NC 28303-4608 | 2020-05-20 |
| 1477188985 | Qiana Tamieka Gatling | Counselor | 4417 Briton Cir, Fayetteville, NC 28314-2401 | 2020-03-04 |
| 1467086496 | The Pair Center for Couples Counseling Pllc | Counselor | 5085 Morganton Road, Suite 300, Fayetteville, NC 28314 | 2020-02-28 |
| 1194359182 | Meredith Leigh Kimbrough | Counselor | 31 E Center St Ste 210, Fayetteville, AR 72701-5391 | 2020-02-27 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
Please comment or provide details below to improve the information on HOLLY SKINNER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.