Provider Demographics
NPI:1497994214
Name:HOLLEY, CHRISTINA LEE (LPA)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:LEE
Last Name:HOLLEY
Suffix:
Gender:F
Credentials:LPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:186 NEW RIVER XING APT A
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-2007
Mailing Address - Country:US
Mailing Address - Phone:828-773-5349
Mailing Address - Fax:
Practice Address - Street 1:8076 NC HIGHWAY 105 S
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-7333
Practice Address - Country:US
Practice Address - Phone:828-963-9777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-18
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3714103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist