Provider Demographics
NPI:1427181718
Name:COCHRAN, HOLLEY HOLBROOK (LMSW)
Entity type:Individual
Prefix:MS
First Name:HOLLEY
Middle Name:HOLBROOK
Last Name:COCHRAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3561 OAKLEY AVE
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38111-6141
Mailing Address - Country:US
Mailing Address - Phone:901-606-7003
Mailing Address - Fax:
Practice Address - Street 1:2688 STATE HIGHWAY 77 S
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:AR
Practice Address - Zip Code:72364-2373
Practice Address - Country:US
Practice Address - Phone:870-739-1700
Practice Address - Fax:870-739-1752
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1764-M104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker