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Provider Information for 1346770542


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HOLLY ANN HEMMINGER MSW


Other Names:  
Former Name: 
HOLLY ANN RAINES-BAXTER

Sex: Female

NPI: 1346770542
Last Updated: 2020-03-08
Certification Date: 2020-03-08

Details

NameValue
NPI1346770542
Enumeration Date2017-06-19
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 146 BLACKTAIL DEER AVE
LAS CRUCES, NM 88007-5220
United States

Phone: 575-526-9878 | Fax:575-526-7835
 
Primary Practice Address 133 WYATT DR STE 3
LAS CRUCES, NM 88005-2962
United States

Phone: 575-526-9878 | Fax:
 
Secondary Practice Address(es)

755 S TELSHOR BLVD STE 201B
LAS CRUCES, NM 88011-3647
United States

Phone: 575-520-1660 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 193400000X - Single Specialty Group
101YM0800X - Counselor - Mental Health
Yes 1041C0700X - Social Worker - ClinicalNMC-11012