Provider Demographics
NPI:1417667692
Name:HOLLIDAY, LUCY (MA, LCMHCA, NCC)
Entity Type:Individual
Prefix:
First Name:LUCY
Middle Name:
Last Name:HOLLIDAY
Suffix:
Gender:F
Credentials:MA, LCMHCA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9016 BLACKBERRY RD
Mailing Address - Street 2:
Mailing Address - City:LENOIR
Mailing Address - State:NC
Mailing Address - Zip Code:28645-7769
Mailing Address - Country:US
Mailing Address - Phone:828-719-8490
Mailing Address - Fax:
Practice Address - Street 1:9016 BLACKBERRY RD
Practice Address - Street 2:
Practice Address - City:LENOIR
Practice Address - State:NC
Practice Address - Zip Code:28645-7769
Practice Address - Country:US
Practice Address - Phone:828-719-8490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-29
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA18265101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health