Provider Demographics
NPI:1477935740
Name:HOLLOWAY, JOSHUA (LCPC)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:
Last Name:HOLLOWAY
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2022 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59401-3900
Mailing Address - Country:US
Mailing Address - Phone:406-781-4414
Mailing Address - Fax:406-205-2358
Practice Address - Street 1:2022 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59401-3900
Practice Address - Country:US
Practice Address - Phone:406-781-4414
Practice Address - Fax:406-205-2358
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-23
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCPC-LIC-12198101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional