Provider Demographics
NPI:1699281477
Name:HOLZMANN, DIANE KATHERINE (MA, LPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:KATHERINE
Last Name:HOLZMANN
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2540 WINDSOR DR
Mailing Address - Street 2:
Mailing Address - City:CAYCE
Mailing Address - State:SC
Mailing Address - Zip Code:29033-1460
Mailing Address - Country:US
Mailing Address - Phone:803-873-7447
Mailing Address - Fax:
Practice Address - Street 1:2609 SEMINOLE RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29210-6581
Practice Address - Country:US
Practice Address - Phone:803-873-7447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-15
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6178101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional