Provider Demographics
NPI:1396581856
Name:HOLLINS, MELINDA ADLISHA
Entity type:Individual
Prefix:MISS
First Name:MELINDA
Middle Name:ADLISHA
Last Name:HOLLINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:156 SALISBURY RD
Mailing Address - Street 2:
Mailing Address - City:WOODVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39669-4027
Mailing Address - Country:US
Mailing Address - Phone:225-241-0789
Mailing Address - Fax:
Practice Address - Street 1:156 SALISBURY RD
Practice Address - Street 2:
Practice Address - City:WOODVILLE
Practice Address - State:MS
Practice Address - Zip Code:39669-4027
Practice Address - Country:US
Practice Address - Phone:225-241-0789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator