KIMBERLY HOLLOWAY (NPI# 1801361050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801361050 |
Entity Type | Individual |
Full Name | KIMBERLY HOLLOWAY |
Credential | LCSW |
Practice Address |
209 Oconee Square Dr Seneca SC 29678-2546 |
Mailing Address |
55 Beattie Pl Ste 810 Greenville SC 29601-2191 |
Practice Telephone | 8008056889 |
Enumeration Date | 2018-10-03 |
Last Update Date | 2018-10-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
9813 | SC | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447209374 | Kimberly Sue Holloway | Obstetrics & Gynecology | 274 Commonwealth Drive, Suite A, Greenville, SC 29615 | 2006-05-08 |
1811326515 | Kimberly Paige Holloway | Psychologist | 9620 Chesapeake Dr, 206, San Diego, CA 92123-1369 | 2013-11-04 |
1861836785 | Kimberly Holloway | Home Health Aide | 1818 New York Av, 117 Global Health Care, Washington, DC 20002 | 2013-04-22 |
1346387115 | Kimberly Jo Holloway | Licensed Practical Nurse | 33 State Ave, Carlisle, PA 17013-4432 | 2007-01-31 |
Street Address |
209 OCONEE SQUARE DR |
City | SENECA |
State | SC |
Zip Code | 29678-2546 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477096634 | Crossroads Treatment Center of Seneca, PC | Community/Behavioral Health | 209 Oconee Square Dr, Seneca, SC 29678-2546 | 2016-11-21 |
1376143255 | Kathleen Grace Martin | Counselor | 209 Oconee Square Dr, Seneca, SC 29678-2546 | 2020-10-29 |
1275149882 | Ryan Israel | Counselor | 209 Oconee Square Dr, Seneca, SC 29678-2546 | 2020-09-18 |
1598378945 | Michelle Lynn Bertrand | Counselor | 209 Oconee Square Dr, Seneca, SC 29678-2546 | 2020-08-26 |
1154835148 | Hollie Bates | Counselor | 209 Oconee Square Dr, Seneca, SC 29678-2546 | 2017-11-29 |
1710491709 | Abbee Thorpe | Counselor | 209 Oconee Square Dr, Seneca, SC 29678-2546 | 2017-11-29 |
1174037162 | Elyse Ciotta | Counselor | 209 Oconee Square Dr, Seneca, SC 29678-2546 | 2017-11-29 |
1972017978 | Katelyn Reibsome | Counselor | 209 Oconee Square Dr, Seneca, SC 29678-2546 | 2017-11-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649803313 | Synergy Spine Center, Pa | Pain Medicine | 457 U.S. Highway 123, Suite D, Seneca, SC 29678 | 2020-02-20 |
1437630746 | Greenville Health Corporation | Durable Medical Equipment & Medical Supplies | 10708 Clemson Blvd, Seneca, SC 29678 | 2018-08-24 |
1497233415 | Southern Telco, Inc. | Emergency Response System Companies | 15879 Wells Hwy, Seneca, SC 29678 | 2018-08-01 |
1598252199 | Chana Ashlan Land | Counselor | 530 By Pass 123 Ste E2, Seneca, SC 29678 | 2018-04-18 |
1679972632 | Anesthesia At Synergy Spine | Nurse Anesthetist, Certified Registered | 457 E Bypass 123, Seneca, SC 29678 | 2014-08-15 |
1548683303 | Carolina Counseling Professionals, LLC | Community/Behavioral Health | 123 Loblolly Pine Dr, Seneca, SC 29678 | 2014-01-30 |
1144658170 | Changing Strides Counseling, LLC | Community/Behavioral Health | 123 Loblolly Pine Dr., Seneca, SC 29678 | 2013-10-30 |
1417383811 | Martha Williams | Registered Nurse | 101 Honeybee Ln, Seneca, SC 29678 | 2013-09-18 |
1073867404 | The Upstate's Golden Corner of Psychiatry | Psychiatry & Neurology | 450 B Bypass 123, Seneca, SC 29678 | 2012-11-07 |
1043569916 | Amanda Lee Simpson | Pharmacist | 105 Foothills Center Drive, West Union, SC 29678 | 2012-09-06 |
Find all providers in zip 29678 |
Taxonomy Code | 207RA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Addiction Medicine |
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275825994 | Pecora Medical, PC | Internal Medicine | 803 N Fant St Ste 3a, Anderson, SC 29621-5718 | 2011-05-12 |
1568437143 | Stephen Irwin Merlin | Internal Medicine | 1620 Lady St Ste B, Columbia, SC 29201-3482 | 2006-02-17 |
1194264457 | Bhs Physician Services of South Carolina PC | Internal Medicine | 2200 Main St, Hilton Head Island, SC 29926-1667 | 2017-02-20 |
1366526030 | Kelly Stephenson Barth | Internal Medicine | 67 President St, Charleston, SC 29425-5712 | 2006-10-25 |
1134133705 | Frederick W Veit | Internal Medicine | 2700 E Phillips Rd, Greer, SC 29650-4815 | 2006-07-28 |
1912954595 | Maureen Burdett | Internal Medicine | 199 S Herlong Ave, Rock Hill, SC 29732 | 2006-05-28 |
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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.