Provider Demographics
NPI:1164880670
Name:HOLLEY AND ASSOCIATES INC.
Entity Type:Organization
Organization Name:HOLLEY AND ASSOCIATES INC.
Other - Org Name:FELECIA HOLLEY
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:FELECIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLEY
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:240-350-5753
Mailing Address - Street 1:15008 WHITEGATE RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20905-5754
Mailing Address - Country:US
Mailing Address - Phone:240-350-5753
Mailing Address - Fax:301-388-0700
Practice Address - Street 1:15008 WHITEGATE RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20905-5754
Practice Address - Country:US
Practice Address - Phone:240-350-5753
Practice Address - Fax:301-388-0700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-29
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC50077871041C0700X
MD123511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty