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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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