Provider Demographics
NPI:1861077380
Name:HOLLOMAN, REBEKAH S (LCMHC)
Entity type:Individual
Prefix:
First Name:REBEKAH
Middle Name:S
Last Name:HOLLOMAN
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2506 NASH ST N
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27896-1393
Mailing Address - Country:US
Mailing Address - Phone:252-373-4722
Mailing Address - Fax:888-415-9555
Practice Address - Street 1:3201 NASH ST NW STE A
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27896-3000
Practice Address - Country:US
Practice Address - Phone:252-373-4722
Practice Address - Fax:888-415-9555
Is Sole Proprietor?:No
Enumeration Date:2021-03-16
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA14853101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health