Individual
HOLLY MESSICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5121 KINGDOM WAY STE 100, RALEIGH, NC 27607
(919) 865-5061
Mailing address
5121 KINGDOM WAY STE 100, RALEIGH, NC 27607-6063
(919) 865-5061
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106S00000X
Behavior Technician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/03/2018
Last updated
05/15/2019
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