Provider Demographics
NPI:1124497375
Name:HOLLIMAN, NANCY K (MA, LCMHC)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:K
Last Name:HOLLIMAN
Suffix:
Gender:F
Credentials:MA, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 W LYNCH ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-1929
Mailing Address - Country:US
Mailing Address - Phone:919-666-7984
Mailing Address - Fax:
Practice Address - Street 1:1829 E FRANKLIN ST STE 800A
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-5868
Practice Address - Country:US
Practice Address - Phone:919-616-9578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-17
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11479101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional