Provider Demographics
NPI:1831721596
Name:HOLT ASSESSMENT SERVICES
Entity type:Organization
Organization Name:HOLT ASSESSMENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLT
Authorized Official - Suffix:
Authorized Official - Credentials:LCAS, LCSW
Authorized Official - Phone:252-541-3833
Mailing Address - Street 1:PO BOX 752
Mailing Address - Street 2:
Mailing Address - City:WELDON
Mailing Address - State:NC
Mailing Address - Zip Code:27890-0752
Mailing Address - Country:US
Mailing Address - Phone:252-541-3833
Mailing Address - Fax:252-541-3832
Practice Address - Street 1:622 UNIT C ROANOKE AVENUE
Practice Address - Street 2:
Practice Address - City:ROANOKE RAPIDS
Practice Address - State:NC
Practice Address - Zip Code:27870
Practice Address - Country:US
Practice Address - Phone:252-541-3833
Practice Address - Fax:252-541-3832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-10
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health