Mrs Jordan Nichole Holtby, MED, ATR, LPC is a
Art Therapist based in Waynesville, Missouri. Mrs Jordan Nichole Holtby is licensed to practice in * (Not Available) (license number ) and her current practice location is
23415 Rosedale Rd, Waynesville, Missouri. She can be reached at her office (for appointments etc.) via phone at
(870) 688-6185.
NPI number for Mrs Jordan Nichole Holtby is 1710304662 and her current mailing address is 23415 Rosedale Rd, Waynesville, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710304662.
Healthcare Provider's Profile
Full Name | Mrs Jordan Nichole Holtby |
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Gender | Female |
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Speciality | Art Therapist |
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Location | 23415 Rosedale Rd, Waynesville, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710304662
- Provider Enumeration Date: 03/27/2014
- Last Update Date: 04/14/2023
Medical Identifiers
Medical identifiers for Mrs Jordan Nichole Holtby such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710304662 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (Arkansas) | Secondary |
221700000X | Art Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jordan Nichole Holtby is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Jordan Nichole Holtby, MED, ATR, LPC 23415 Rosedale Rd, Waynesville, MO 65583-2752 Ph: (870) 688-6185 | Mrs Jordan Nichole Holtby, MED, ATR, LPC 23415 Rosedale Rd, Waynesville, MO 65583-2752 Ph: (870) 688-6185 |
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