Provider Demographics
NPI:1679604995
Name:HOLMAN, TERRE S (LCSW)
Entity type:Individual
Prefix:
First Name:TERRE
Middle Name:S
Last Name:HOLMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1740 OLD FORT PKWY # 1154
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-3384
Mailing Address - Country:US
Mailing Address - Phone:615-278-0404
Mailing Address - Fax:
Practice Address - Street 1:1740 OLD FORT PKWY # 1154
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-3384
Practice Address - Country:US
Practice Address - Phone:615-278-0404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
TN90801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor