JENNIFER THOMPSON HOLLOWAY


Address: 9987 W Cherokee Ave, Las Vegas, NV 89147-7728
Phone: 7022341178

JENNIFER THOMPSON HOLLOWAY (NPI# 1447685714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447685714
Entity Type Individual
Full Name JENNIFER THOMPSON HOLLOWAY
Practice Address 9987 W Cherokee Ave
Las Vegas
NV 89147-7728
Practice Telephone 7022341178
Mailing Telephone 7022341178
Enumeration Date 2013-09-05
Last Update Date 2013-09-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

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Office Location

Street Address 9987 W CHEROKEE AVE
City LAS VEGAS
State NV
Zip Code 89147-7728

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NPI Name Taxonomy Address Enumeration
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1154782191 Ma Leah Roble Maravillas Behavioral Analyst 9999 W Katie Ave Suite 1313, Las Vegas, NV 89147 2016-03-18
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City LAS VEGAS
Zip Code 89147

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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