Basic Information
| Provider Information | |||||||||
| NPI: | 1851846695 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HOLLAND | ||||||||
| FirstName: | NANETTE | ||||||||
| MiddleName: | GIBSON | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | LCSW-A | ||||||||
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| Mailing Information | |||||||||
| Address1: | 71 KEYSTONE DR | ||||||||
| Address2: | |||||||||
| City: | FRANKLIN | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287347519 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8284214048 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 100 THOMAS HEIGHTS RD STE 206 | ||||||||
| Address2: | |||||||||
| City: | FRANKLIN | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287349799 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8285249385 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/22/2016 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | P011402 | NC | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.