Holliday, Cassandra

Holliday, Cassandra is an sole proprietor health care provider with primary practice located at 4345 Old Frederick Rd , Baltimore MD 21229-2838. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Holliday, Cassandra can be contacted via phone (240) 516-8021.

Contact Information

Primary practice address
4345 Old Frederick Rd Baltimore MD 21229-2838
Phone: (240) 516-8021
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X ADT2372 Maryland
Behavioral Health & Social Service Providers / Professional 101YP2500X ADT2372 Maryland
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X ADT2372 Maryland

Profile Details

NPI number 1366100653
LBN Legal business name Holliday, Cassandra
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 3rd, 2021
Last updated Sep 15th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366100653 NPPES
Maryland MEDICAID 4345

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