Individual
DANIELLE STAR HOLZWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1516 BERRIEDALE DR, FAYETTEVILLE, NC 28304-5503
(910) 545-7561
(910) 491-1516
Mailing address
1516 BERRIEDALE DR, FAYETTEVILLE, NC 28304-5503
(910) 545-7561
(910) 491-1516
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1-21-499901
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
203201
NC
103K00000X
Behavior Analyst
458532
NC
106S00000X
Behavior Technician
Primary
BCAB458532
NC
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
198405
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
93-3893775
TRICARE
NC
05
—
93-3893775
—
NC
Enumeration date
10/09/2023
Last updated
07/07/2026
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