| Holt Assessment Services | |
|
622 Unit C Roanoke Avenue Roanoke Rapids NC 27870 | |
| (252) 541-3833 | |
| (252) 541-3832 |
| Full Name | Holt Assessment Services |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 02/10/2020 |
| Last Update Date | 12/29/2020 |
| Certification Date | 12/29/2020 |
| Medicare PECOS PAC ID | 3678986908 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336480961 PECOS PAC ID: 9931512266 Enrollment ID: I20210106001071 |
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