Provider Demographics
NPI:1063997963
Name:BRABSON-HALSEY, HOLLY (LICSW)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:
Last Name:BRABSON-HALSEY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 BISHOPS LN
Mailing Address - Street 2:
Mailing Address - City:LYNNFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01940-1324
Mailing Address - Country:US
Mailing Address - Phone:617-515-3408
Mailing Address - Fax:
Practice Address - Street 1:36 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:MA
Practice Address - Zip Code:01944-1123
Practice Address - Country:US
Practice Address - Phone:978-526-7641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-27
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1106631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical