Holloway, Lisa Ann
Holloway, Lisa Ann is an individual health care provider with primary practice located at 1903 Island Walk Way , Fernandina Beach FL 32034-4797. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Holloway, Lisa Ann can be contacted via phone (904) 277-0027.Contact Information
Primary practice address
1903 Island Walk Way
Fernandina Beach FL 32034-4797
Phone: (904) 277-0027
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH9688 | Florida |
Profile Details
NPI number | 1811048952 |
---|---|
LBN Legal business name | Holloway, Lisa Ann |
Credentials | LMHC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 16th, 2007 |
Last updated | Feb 5th, 2020 - about 5 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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