Provider Demographics
NPI:1174203038
Name:CROSBY, HOLLY ANN (MA, LMFT)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:ANN
Last Name:CROSBY
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:HOLLY
Other - Middle Name:ANN
Other - Last Name:TALCOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14930 MUESCHKE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-0980
Mailing Address - Country:US
Mailing Address - Phone:346-206-3992
Mailing Address - Fax:832-652-3626
Practice Address - Street 1:14930 MUESCHKE RD STE 100
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-0980
Practice Address - Country:US
Practice Address - Phone:346-206-3992
Practice Address - Fax:832-652-3626
Is Sole Proprietor?:No
Enumeration Date:2023-07-24
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX205031106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist