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Organization
GIFTED AMBITION HEALTH LLC
Active
Organization
GIFTED AMBITION HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL CHARLES HOLLOMAN QMHP, MPA, PHD (CEO)
(757) 876-4450
Entity
Organization
Contact information
Practice address
734 CITY CENTER BLVD STE C, NEWPORT NEWS, VA 23606-3090
(757) 876-4450
Mailing address
734 CITY CENTER BLVD STE C, NEWPORT NEWS, VA 23606-3090
(757) 876-4450
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/26/2025
Last updated
04/10/2026
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