Individual
ANITA SHERYLL WILEY-HOLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
6012 BAYFIELD PKWY # 214, CONCORD, NC 28027-7597
(980) 259-0855
Mailing address
PO BOX 748465, ATLANTA, GA 30374-8465
(855) 284-7483
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11993
NC
Other
Enumeration date
02/26/2016
Last updated
09/16/2024
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