Provider Demographics
NPI:1316291180
Name:RIOUX, HOLLY M (LICSW)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:M
Last Name:RIOUX
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:HOLLY
Other - Middle Name:M
Other - Last Name:BISNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:66 HANOVER ST STE 200
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03101-2230
Mailing Address - Country:US
Mailing Address - Phone:617-804-0948
Mailing Address - Fax:
Practice Address - Street 1:440 AMHERST ST
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03062
Practice Address - Country:US
Practice Address - Phone:603-889-6147
Practice Address - Fax:603-883-1568
Is Sole Proprietor?:No
Enumeration Date:2012-11-01
Last Update Date:2022-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
NH20361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171M00000XOther Service ProvidersCase Manager/Care Coordinator