Individual
KECHIA J HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11700 N 58TH ST STE D, TEMPLE TERRACE, FL 33617-1692
(813) 605-5555
Mailing address
11700 N 58TH ST STE D, TEMPLE TERRACE, FL 33617-1692
(813) 605-5555
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
Primary
CBHCMS100302
FL
Other
Enumeration date
10/25/2011
Last updated
02/11/2022
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