Holloway, Paula Vanessa

Holloway, Paula Vanessa is an individual health care provider with primary practice located at 109 West Watauga Avenue , Johnson City TN 37604. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Holloway, Paula Vanessa can be contacted via phone (423) 232-2700.

Contact Information

Primary practice address
109 West Watauga Avenue Johnson City TN 37604
Phone: (423) 232-2700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMT238 Tennessee

Profile Details

NPI number 1508960204
LBN Legal business name Holloway, Paula Vanessa
Credentials MED LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated Jul 8th, 2007 - about 19 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 1508960204 NPPES
Other 3085403 MAGELLAN SUMMIT
Other 3085403 MAGELLAN SUMMIT
Other 3085403 MAGELLAN SUMMIT
Other 334969 MAGELLAN SUMMIT
Other 62058260566 MAGELLAN SUMMIT

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