Provider Demographics
NPI:1326842501
Name:CALVIN-GARCIA, HOLLEY
Entity type:Individual
Prefix:
First Name:HOLLEY
Middle Name:
Last Name:CALVIN-GARCIA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10599 TORRANCE RD
Mailing Address - Street 2:
Mailing Address - City:CARBONDALE
Mailing Address - State:IL
Mailing Address - Zip Code:62901-0649
Mailing Address - Country:US
Mailing Address - Phone:630-779-0489
Mailing Address - Fax:
Practice Address - Street 1:10599 TORRANCE RD
Practice Address - Street 2:
Practice Address - City:CARBONDALE
Practice Address - State:IL
Practice Address - Zip Code:62901-0649
Practice Address - Country:US
Practice Address - Phone:630-779-0489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker