Provider Demographics
NPI:1447789508
Name:HOLLOWAY, HALBREONDA MCNEILL (MSW, LCSW, LCAS)
Entity Type:Individual
Prefix:MRS
First Name:HALBREONDA
Middle Name:MCNEILL
Last Name:HOLLOWAY
Suffix:
Gender:F
Credentials:MSW, LCSW, LCAS
Other - Prefix:
Other - First Name:HALBREONDA
Other - Middle Name:SULLAY
Other - Last Name:MCNEILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LCSW, LCAS-A
Mailing Address - Street 1:701 SPENCER LN
Mailing Address - Street 2:
Mailing Address - City:KANNAPOLIS
Mailing Address - State:NC
Mailing Address - Zip Code:28081-0012
Mailing Address - Country:US
Mailing Address - Phone:704-224-3077
Mailing Address - Fax:704-694-4918
Practice Address - Street 1:705 S MAIN ST STE 7
Practice Address - Street 2:
Practice Address - City:KANNAPOLIS
Practice Address - State:NC
Practice Address - Zip Code:28081-4915
Practice Address - Country:US
Practice Address - Phone:704-224-3077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-12
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0115401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical