Holloman, Melissa Dawn

Holloman, Melissa Dawn is an individual health care provider with primary practice located at 279 N Grove Medical Park Drive , Spartanburg SC 29303. She recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Holloman, Melissa Dawn can be contacted via phone (843) 302-2211.

Contact Information

Primary practice address
279 N Grove Medical Park Drive Spartanburg SC 29303
Phone: (843) 302-2211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 4989 South Carolina
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 4989 South Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4989 South Carolina
Behavioral Health & Social Service Providers / Pastoral 101YP1600X
Behavioral Health & Social Service Providers / Professional 101YP2500X 4989 South Carolina
Behavioral Health & Social Service Providers / Social Worker 104100000X 4989 South Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4989 South Carolina
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 4989 South Carolina

Profile Details

NPI number 1225227101
LBN Legal business name Holloman, Melissa Dawn
Credentials LISW-CP & AP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2007
Last updated Jun 11th, 2014 - about 10 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 1225227101 NPPES
South Carolina Other Q322560281 MEDICARE

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