Provider Demographics
NPI:1336284033
Name:ALFORD, HOLLY WHELCHEL (LAMFT)
Entity type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:WHELCHEL
Last Name:ALFORD
Suffix:
Gender:F
Credentials:LAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 VERBENA LN
Mailing Address - Street 2:
Mailing Address - City:LANTANA
Mailing Address - State:TX
Mailing Address - Zip Code:76226-7506
Mailing Address - Country:US
Mailing Address - Phone:706-614-0652
Mailing Address - Fax:
Practice Address - Street 1:3370 LONG PRAIRE ROAD
Practice Address - Street 2:SUITE 550
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75022
Practice Address - Country:US
Practice Address - Phone:469-557-2997
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAMFT000098106H00000X
TX201950106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist