Provider Demographics
NPI:1255032389
Name:HOLCOMB, MARVIN KENT II (LCMHC)
Entity type:Individual
Prefix:
First Name:MARVIN
Middle Name:KENT
Last Name:HOLCOMB
Suffix:II
Gender:M
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2415 MORGANTON BLVD SW STE 100
Mailing Address - Street 2:
Mailing Address - City:LENOIR
Mailing Address - State:NC
Mailing Address - Zip Code:28645-9691
Mailing Address - Country:US
Mailing Address - Phone:828-394-5563
Mailing Address - Fax:
Practice Address - Street 1:2415 MORGANTON BLVD SW STE 100
Practice Address - Street 2:
Practice Address - City:LENOIR
Practice Address - State:NC
Practice Address - Zip Code:28645-9691
Practice Address - Country:US
Practice Address - Phone:828-394-5563
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-15
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA18416101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional