Provider Demographics
NPI:1316102668
Name:HOLLINGSWORTH, LORI KAY (PHD, LPC-S, NCC)
Entity type:Individual
Prefix:DR
First Name:LORI
Middle Name:KAY
Last Name:HOLLINGSWORTH
Suffix:
Gender:F
Credentials:PHD, LPC-S, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2002 COLORADO AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76901-3906
Mailing Address - Country:US
Mailing Address - Phone:325-227-6759
Mailing Address - Fax:325-227-6760
Practice Address - Street 1:2002 COLORADO AVE
Practice Address - Street 2:
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76901-3906
Practice Address - Country:US
Practice Address - Phone:325-227-6759
Practice Address - Fax:325-227-6760
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-25
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61382101YS0200X, 101Y00000X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional