HOLLIE ERVIN CRISP II (NPI# 1760854137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760854137 |
| Entity Type | Individual |
| Full Name | HOLLIE ERVIN CRISP II |
| Credential | LPCC |
| Practice Address |
490 Village Ln Hazard KY 41701-9414 |
| Practice Telephone | 6069104308 |
| Practice Fax Number | 6064392861 |
| Mailing Telephone | 6069104308 |
| Mailing Fax Number | 6064392861 |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2015-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPCPCC00221303 | KY | Behavioral Health & Social Service Providers |
| Street Address |
490 VILLAGE LN |
| City | HAZARD |
| State | KY |
| Zip Code | 41701-9414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528557147 | Mercy Medical Clinic Pllc | Family Medicine | 14659 Us N Hwy 25e, Ste 16, Corbin, KY 41701 | 2018-05-09 |
| 1770080574 | John Corey Taylor | Student in an Organized Health Care Education/Training Program | 750 Morton Blvd., Hazard, KY 41701 | 2018-04-09 |
| 1700304714 | Kentucky River District Health Department | Public Health or Welfare | 72 Miss Edna Lane, Hazard, KY 41701 | 2017-08-30 |
| 1932637972 | Uvalyne Diane Preston | Dietitian, Registered | 210 Black Gold Blvd., Suite 107, Hazard Va Clinic, Hazard, KY 41701 | 2017-06-02 |
| 1124471370 | Family Center LLC | Specialist/Technologist, Other | 101 Town and Country Lane, Hazard, KY 41701 | 2016-07-22 |
| 1558730168 | Southgate Independent School District | Local Education Agency (LEA) | 6 William Blatt Ave, Southgate, KY 41701 | 2015-09-24 |
| 1285016980 | Jonathan Sizemore | Speech-Language Pathologist | 9821 Ky Hwy 476, Hazard, KY 41701 | 2015-06-18 |
| 1295126233 | Herbal Secrets | Skilled Nursing Facility | 202 Cliff View Lane, Hazard, KY 41701 | 2015-02-12 |
| 1417393414 | Bhg Xxvi, LLC | Case Management | 48 Independence Drive, Hazard, KY 41701 | 2013-05-16 |
| 1447585336 | Ace Clinique Pharmacy | Pharmacy | 207 Roy Campbell Dr, Hazard, KY 41701 | 2009-10-09 |
| Find all providers in zip 41701 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457660920 | Anthony Brent Caudill | Counselor | 466 Village Ln, Hazard, KY 41701-9405 | 2010-10-01 |
| 1922606680 | Dawn Elkins | Counselor | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2020-10-14 |
| 1821534678 | Rebecca Stamper | Counselor | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2017-01-17 |
| 1225480841 | David Bryant | Counselor | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2016-07-07 |
| 1063868719 | Lillian Prosperino | Counselor | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2016-05-12 |
| 1245698976 | Jennifer Erwin | Counselor | 115 Rockwood Ln, Hazard, KY 41701 | 2016-02-09 |
| 1588038129 | Tanya Moore | Counselor | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2015-11-19 |
| 1316314016 | Ashley Campbell | Counselor | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2015-08-28 |
| 1043690225 | Katrina Mann | Counselor | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2015-06-03 |
| 1154719813 | Carrie Lawson | Counselor | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2015-01-05 |
| Find all providers in HAZARD | ||||
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| 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.