Provider Demographics
NPI:1629184502
Name:HOLLEY, FE'LECIA (JD, MSW, LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:FE'LECIA
Middle Name:
Last Name:HOLLEY
Suffix:
Gender:F
Credentials:JD, MSW, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15008 WHITEGATE RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20905-5754
Mailing Address - Country:US
Mailing Address - Phone:240-350-5753
Mailing Address - Fax:
Practice Address - Street 1:6475 NEW HAMPSHIRE AVEUE
Practice Address - Street 2:SUITE 610
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20783
Practice Address - Country:US
Practice Address - Phone:301-270-3200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2011-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD123511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical