Provider Demographics
NPI:1578160925
Name:HOLLIDAY, KARMESHA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KARMESHA
Middle Name:
Last Name:HOLLIDAY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3820 DAVE WARD DR STE 1900, #212
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-7995
Mailing Address - Country:US
Mailing Address - Phone:870-267-8043
Mailing Address - Fax:
Practice Address - Street 1:3820 DAVE WARD DR STE 1900, #212
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034-7995
Practice Address - Country:US
Practice Address - Phone:870-267-8043
Practice Address - Fax:501-800-5099
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-07
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR10270M104100000X
AR10270-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker