Provider Demographics
NPI:1346984119
Name:WILSON, HOLLIE BETH
Entity type:Individual
Prefix:MISS
First Name:HOLLIE
Middle Name:BETH
Last Name:WILSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2518 TIMWOOD DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-1424
Mailing Address - Country:US
Mailing Address - Phone:615-944-3050
Mailing Address - Fax:
Practice Address - Street 1:8283 RIVER ROAD PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-6009
Practice Address - Country:US
Practice Address - Phone:615-352-1757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-26
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional