Provider Demographics
NPI:1598346595
Name:HOLLOWAY, ERICKA LEIGH (LPC)
Entity type:Individual
Prefix:
First Name:ERICKA
Middle Name:LEIGH
Last Name:HOLLOWAY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15248 SADDLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77384-3453
Mailing Address - Country:US
Mailing Address - Phone:281-742-0444
Mailing Address - Fax:
Practice Address - Street 1:15248 SADDLEWOOD DR
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77384-3453
Practice Address - Country:US
Practice Address - Phone:281-742-0444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-20
Last Update Date:2024-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0017054101YP2500X
TX87732101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional