Holloway, Monica Latriese

Holloway, Monica Latriese is an sole proprietor health care provider with primary practice located at 10106 Krause Rd Ste 206 , Chesterfield VA 23832-6572. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Holloway, Monica Latriese can be contacted via phone (804) 991-8799.

Contact Information

Primary practice address
10106 Krause Rd Ste 206 Chesterfield VA 23832-6572
Phone: (804) 991-8799
Fax: (804) 777-7770
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 0701008566 Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0701008566 Virginia
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701008566 Virginia

Profile Details

NPI number 1447808274
LBN Legal business name Holloway, Monica Latriese
Credentials LPC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2019
Last updated Apr 20th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447808274 NPPES
Virginia MEDICAID 247726836

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