Provider Demographics
NPI:1518403625
Name:HOLLIDAY, ERIKA LATISHA (LCSW)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:LATISHA
Last Name:HOLLIDAY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:LATISHA
Other - Last Name:HOLLIDAY-WALKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:13500 RIDGEMOOR DR
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23114-5545
Mailing Address - Country:US
Mailing Address - Phone:804-908-0309
Mailing Address - Fax:
Practice Address - Street 1:1500 BROOK RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23220-2308
Practice Address - Country:US
Practice Address - Phone:804-225-9144
Practice Address - Fax:804-225-9145
Is Sole Proprietor?:No
Enumeration Date:2017-01-12
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040081951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical