Holloway, Patricia

Holloway, Patricia is an individual health care provider with primary practice located at 600 Medical Dr Suite A, Hampton VA 23666-1769. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Holloway, Patricia can be contacted via phone (757) 788-0600.

Contact Information

Primary practice address
600 Medical Dr Suite A Hampton VA 23666-1769
Phone: (757) 788-0600
Fax: (757) 788-0932
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904005219 Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0904005219 Virginia
Behavioral Health & Social Service Providers / Professional 101YP2500X 0904005219 Virginia

Profile Details

NPI number 1306908744
LBN Legal business name Holloway, Patricia
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Aug 20th, 2009 - about 17 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 1306908744 NPPES
Virginia MEDICAID 1659424448

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