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:
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Health care specialties

SpecialtyCodeLicense #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 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.

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