Provider Demographics
NPI:1740006584
Name:HOLLIFIELD, ADRIANA GUADALUPE
Entity type:Individual
Prefix:
First Name:ADRIANA
Middle Name:GUADALUPE
Last Name:HOLLIFIELD
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 1:176 MILLER AVE
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-4088
Mailing Address - Country:US
Mailing Address - Phone:828-317-7643
Mailing Address - Fax:
Practice Address - Street 1:128 MAUNEY AVE
Practice Address - Street 2:
Practice Address - City:OLD FORT
Practice Address - State:NC
Practice Address - Zip Code:28762-6723
Practice Address - Country:US
Practice Address - Phone:828-668-7646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-26
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool