Blackburn, Holly L

Blackburn, Holly L is an individual health care provider with primary practice located at 3058 River Rd W , Goochland VA 23063-3202. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Blackburn, Holly L can be contacted via phone (804) 556-5400.

Contact Information

Primary practice address
3058 River Rd W Goochland VA 23063-3202
Fax: (804) 556-5403
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904000952 Virginia

Profile Details

NPI number 1518914480
LBN Legal business name Blackburn, Holly L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Dec 7th, 2007 - about 18 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 1518914480 NPPES
Virginia Other 100887 ANTHEM - POWH LOC
Virginia Other O89592 ANTHEM - POWH LOC
Virginia Other 100888 ANTHEM - POWH LOC
Virginia Other 100888 ANTHEM - POWH LOC
Virginia Other A932447 ANTHEM - POWH LOC
Virginia Other 100887 ANTHEM - POWH LOC

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