Holladay, Kelly
Holladay, Kelly is an individual health care provider with primary practice located at 3236 Landmark Dr Suite 103, North Charleston SC 29418-8488. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Holladay, Kelly can be contacted via phone (336) 416-6364.Contact Information
Primary practice address
3236 Landmark Dr Suite 103
North Charleston SC 29418-8488
Phone: (336) 416-6364
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1568703510 |
|---|---|
| LBN Legal business name | Holladay, Kelly |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2013 |
| Last updated | Aug 5th, 2020 - about 4 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 | 1568703510 | NPPES |
| South Carolina | MEDICAID | BB1001 |
Popular Providers
-
Husband, Haley Lynn
5052 Lackawanna Blvd. , North Charleston SC 29405-2940 -
Mccarron, Emily
2070 Northbrook Blvd , North Charleston SC 29406-9252 -
Smalls, Latrice
2810 Ashley Phosphate Rd , North Charleston SC 29418-6405 -
Belt, Ashley Leitner
8620 Refuge Point Cir , North Charleston SC 29420-6879 -
Jenkins, Cailey
4515 Spruill Ave , North Charleston SC 29405-4764 -
Vadan, Octavia
2070 Northbrook Blvd Ste B4 , North Charleston SC 29406-9254 -
Manfredi, Regina
2070 Northbrook Blvd Ste B4 , North Charleston SC 29406-9254 -
Taylor, Kelly
4515 Spruill Ave , North Charleston SC 29405-4764