KELLEY HOLLADAY PHD LMHC LPCC NCC NPI 1790393973

NPI Information

NPI: 1790393973
Provider Name: KELLEY HOLLADAY, PHD, LMHC, LPCC, NCC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1782 PLANTATION OAKS DR
JACKSONVILLE, FL
ZIP 32223
Phone: (505) 604-4120
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Kelley Holladay, PHD, LMHC, LPCC, NCC is a mental health counselor in Jacksonville, 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:

1782 PLANTATION OAKS DR
JACKSONVILLE, FL
ZIP 32223-010
Phone: (505) 604-4120

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

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	12648	FLORIDA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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