Provider Demographics
NPI:1013712967
Name:BRILEY, HOLLI ELIZABETH
Entity type:Individual
Prefix:
First Name:HOLLI
Middle Name:ELIZABETH
Last Name:BRILEY
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:HOLLI
Other - Middle Name:ELIZABETH
Other - Last Name:SEMPLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:302 HARWOOD DR
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN
Mailing Address - State:VA
Mailing Address - Zip Code:23692-3234
Mailing Address - Country:US
Mailing Address - Phone:757-602-7076
Mailing Address - Fax:
Practice Address - Street 1:739 THIMBLE SHOALS BLVD
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-3562
Practice Address - Country:US
Practice Address - Phone:757-690-9390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-14
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician