KELLEY HOLLADAY PHD LMHC LPCC NCC NPI 1790393973

NPI Information

  • NPI: 1790393973
  • Provider Name: KELLEY HOLLADAY, PHD, LMHC, LPCC, NCC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 1855 OAK PL
    FLAGLER BEACH, FL
    ZIP 32136
  • Phone: (904) 894-1754

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NPI Details

Kelley Holladay, PHD, LMHC, LPCC, NCC is a mental health counselor in Flagler Beach, FL. Kelley Holladay, PHD, LMHC, LPCC, NCC NPI is 1790393973. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1855 OAK PL
FLAGLER BEACH, FL
ZIP 32136-900
Phone: (904) 894-1754

The enumeration date for this NPI number is 7/14/2020 and was last updated on 2/28/2025.

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
1101YM0800XCounselorMental Health12648FLORIDAYes

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: 3/30/2025

NPI Synchronization or Removal

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