HOLLY WAIDE (NPI# 1811508575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811508575 |
| Entity Type | Individual |
| Full Name | HOLLY WAIDE |
| Practice Address |
1064 Laskin Rd Ste 14c Virginia Beach VA 23451-6337 |
| Mailing Address |
1056 Haygood Estate Ln Virginia Beach VA 23455-5558 |
| Practice Telephone | 7572331500 |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2020-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1064 LASKIN RD STE 14C |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23451-6337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285256768 | Robyn Melinda Leroy | Counselor | 1064 Laskin Rd Ste 14c, Virginia Beach, VA 23451-6337 | 2020-05-07 |
| 1043811623 | Deanna Herbol | Social Worker | 1064 Laskin Rd Ste 14c, Virginia Beach, VA 23451-6337 | 2020-11-02 |
| 1760004881 | Emily Ahern Wareing | Counselor | 1064 Laskin Rd Ste 14c, Virginia Beach, VA 23451-6337 | 2020-05-12 |
| 1396367413 | Kaitlin Suzanne Walsh | Counselor | 1064 Laskin Rd Ste 14c, Virginia Beach, VA 23451-6337 | 2020-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547268 | Brynn Arica Carey | Speech-Language Pathologist | Laskin Road Annex, 1413 Laskin Road, Virginia Beach, VA 23451 | 2020-10-29 |
| 1851864094 | Erica Genevieve Johns | Counselor | 253 C Street, Camp Pendleton, Virginia Beach, VA 23451 | 2019-01-10 |
| 1407327729 | Crystal Michelle Larios | Physical Therapy Assistant | Westminster Canterbury, Virginia Beach, VA 23451 | 2018-12-14 |
| 1215423322 | Ketan Patel | Dentist | 395 Norfolk Ave, Virginia Beach, VA 23451 | 2018-07-02 |
| 1356844427 | Kristina Maria Matthews | Nurse's Aide | 1206 Laskin Road, Suite 140-g, Virginia Beach, VA 23451 | 2018-03-14 |
| 1437652823 | Beach Medical Suppliers LLC | Durable Medical Equipment & Medical Supplies | 2256 W. Great Neck Rd, Virginia Beach, VA 23451 | 2018-03-13 |
| 1740782291 | Sherree Weeks | Speech-Language Pathologist | 1413 Laskin Rd., Va. Beach, VA 23451 | 2018-03-01 |
| 1649709007 | Christine Herslow | Registered Nurse | 2200 Elder Road, Virginia Beach, VA 23451 | 2017-06-08 |
| 1538611066 | Wal-mart Stores East, Lp | Technician/Technologist | 546 First Colonial Road, Virginia Beach, VA 23451 | 2016-11-01 |
| 1306182795 | John Leroy Stacy Jr. | Counselor | 409 Birdneck Cir, Virginia Beach, VA 23451 | 2012-12-12 |
| Find all providers in zip 23451 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356941181 | Amy H Drescher LLC | Counselor | 3615 Atlantic Ave Apt 302, Virginia Beach, VA 23451-2749 | 2020-10-30 |
| 1629678735 | Stephanie Ellzey | Counselor | 4169 Virginia Beach Blvd Ste 150, Virginia Beach, VA 23452-1783 | 2020-10-28 |
| 1881208650 | Tracie Marie Romero | Counselor | 236 Mustag Trail Ste, Virginia Beach, VA 23452 | 2020-08-31 |
| 1912510991 | Briahna Van Nostern | Counselor | 669 Pinebrook Dr, Virginia Beach, VA 23462-4772 | 2020-08-28 |
| 1750999280 | Barbara Stuart Ford | Counselor | 6477 College Park Sq Ste 216, Virginia Beach, VA 23464-3611 | 2020-07-21 |
| 1184242489 | Leah Laura Crawford | Counselor | 2397 Liberty Way Ste 103, Virginia Beach, VA 23456-3464 | 2020-07-13 |
| 1871119321 | Pembroke Psychotherapy LLC | Counselor | 4605 Pembroke Lake Cir Ste 103c, Virginia Beach, VA 23455-6434 | 2020-06-21 |
| 1285256768 | Robyn Melinda Leroy | Counselor | 1064 Laskin Rd Ste 14c, Virginia Beach, VA 23451-6337 | 2020-05-07 |
| 1013543560 | Frank Douglass Bond | Counselor | 5267 Greenwich Rd Ste 100, Virginia Beach, VA 23462-6028 | 2020-03-17 |
| 1821621640 | Hailey Rae Gier | Counselor | 4420 Bear Trl, Virginia Beach, VA 23456-7308 | 2020-02-20 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23451 |
Please comment or provide details below to improve the information on HOLLY WAIDE.
| 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.