HOLLY ERIN BASOM LPC - NPI 1881740892 - Counselor in Saint Louis, MO

Q: What is Holly Basom's NPI number?

The NPI number for Holly Basom is 1881740892. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Q: What is Holly Basom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Holly Basom was last updated on November 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Holly Erin Basom Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLLY ERIN BASOM LPC (NPI 1881740892) is an individual mental health provider in Saint Louis, Missouri, licensed in Missouri (2014012314) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1881740892

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameHOLLY ERIN BASOMCredential: LPC

Location Address1430 OLIVE ST STE 400Saint Louis, MO 63103-2303

Mailing Address1430 Olive St, Suite 400Saint Louis, MO 63103-2303 · (314) 206-3700 · Fax (314) 206-3708

Phone(314) 206-3700

Fax(314) 206-3708

Sole ProprietorNo

Enumeration DateJanuary 25, 2007

Last NPPES UpdateNovember 29, 2021

NPPES CertifiedNovember 29, 2021

✔ NPI 1881740892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MO · 2014012314

Also ListedSocial WorkerTaxonomy 104100000X

1430 OLIVE ST STE 400, Saint Louis, MO 63103

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Other Identifiers 1

Other2014012314MO · Lpc

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATALIE ANN SOUCY LPC

Counselor (Mental Health)