Holloway, Monica Latriese
Holloway, Monica Latriese is an sole proprietor health care provider with primary practice located at 10106 Krause Rd Ste 206 , Chesterfield VA 23832-6572. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Holloway, Monica Latriese can be contacted via phone (804) 991-8799.Contact Information
Primary practice address
10106 Krause Rd Ste 206
Chesterfield VA 23832-6572
Phone: (804) 991-8799
Fax: (804) 777-7770
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 0701008566 | Virginia |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0701008566 | Virginia |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701008566 | Virginia |
Profile Details
| NPI number | 1447808274 |
|---|---|
| LBN Legal business name | Holloway, Monica Latriese |
| Credentials | LPC, NCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 26th, 2019 |
| Last updated | Apr 20th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447808274 | NPPES |
| Virginia | MEDICAID | 247726836 |
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