Holt Assessment Services | |
622 Unit C Roanoke Avenue Roanoke Rapids NC 27870 | |
(252) 541-3833 | |
(252) 541-3832 |
Full Name | Holt Assessment Services |
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Speciality | Community/Behavioral Health |
Location | 622 Unit C Roanoke Avenue, Roanoke Rapids, North Carolina |
Authorized Official Name and Position | Shelia Holt (OWNER) |
Authorized Official Contact | 2525413833 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Holt Assessment Services Po Box 752 Weldon NC 27890-0752 Ph: (252) 541-3833 | Holt Assessment Services 622 Unit C Roanoke Avenue Roanoke Rapids NC 27870 Ph: (252) 541-3833 |
NPI Number | 1831721596 |
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Provider Enumeration Date | 02/10/2020 |
Last Update Date | 12/29/2020 |
Certification Date | 12/29/2020 |
Medicare PECOS PAC ID | 3678986908 |
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Medicare Enrollment ID | O20210106000875 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831721596 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Shelia Holt |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1336480961 PECOS PAC ID: 9931512266 Enrollment ID: I20210106001071 |
Provider Name | Toni Leeanna Holt |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1679130736 PECOS PAC ID: 4082018775 Enrollment ID: I20210803000412 |
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