CASSANDRA HOLLIDAY NPI 1366100653

NPI Information

NPI: 1366100653
Provider Name: CASSANDRA HOLLIDAY
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
4345 OLD FREDERICK RD
BALTIMORE, MD
ZIP 21229
Phone: (240) 516-8021
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Cassandra Holliday is an addiction (substance use disorder) counselor in Baltimore, MD. Cassandra Holliday NPI is 1366100653. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4345 OLD FREDERICK RD
BALTIMORE, MD
ZIP 21229-838
Phone: (240) 516-8021

The enumeration date for this NPI number is 12/3/2021 and was last updated on 9/15/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	ADT2372	MARYLAND	No
2	101YP2500X	Counselor	Professional	ADT2372	MARYLAND	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	ADT2372	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4345	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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