Roger Laverne Holt in Concord - Psychiatric/mental Health

Roger Laverne Holt - NPI 1518143817

Roger Laverne Holt is a Psychiatric/mental Health in Concord, North Carolina. Roger Laverne Holt practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Roger Laverne Holt is 1518143817. The last update date is 2023-11-27.

Roger Laverne Holt's current location address is 284 Executive Park Dr, Concord, North Carolina. You can contact this provider via phone number 7049391100 and fax number 7049391173. The mailing address for Roger Laverne Holt is 284 Executive Park Dr, Concord, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Roger Laverne Holt
Address 284 Executive Park Dr, Concord, North Carolina
Phone Number 7049391100
Fax Number 7049391173
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1518143817
Provider Enumeration Date 2008-01-16
Last Updated Date 2023-11-27

Provider Mailing Address Detail

Address 284 Executive Park Dr
City Concord
State North Carolina (NC)
Post Code 280251833
Phone Number 7049391100
Fax Number 7049391173

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health
Taxonomy 363Lp0808X
Licence No 900423
Definition:
An advanced practice registered nurse expert in providing psychiatric and mental healthcare services.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6113061 NC --

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FAQs about Roger Laverne Holt

What is the unique 10-digit identification code assigned to Roger Laverne Holt by the Centers for Medicare & Medicaid Services?

The Roger Laverne Holt has been issued the NPI (National Provider Identifier) 1518143817, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Roger Laverne Holt?

The Roger Laverne Holt is situated at 284 Executive Park Dr, in the city of Concord, state of NC, with the zip code 280251833.

What is Roger Laverne Holt's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Roger Laverne Holt is Psychiatric/mental Health, and the taxonomy classification code that categorizes this area of expertise is 363Lp0808X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1518143817 to Roger Laverne Holt?

The Centers for Medicare & Medicaid Services originally issued the 1518143817 to Roger Laverne Holt on 2008-01-16.

As of what date were the details related to Roger Laverne Holt most recently updated or revised?

The information pertaining to Roger Laverne Holt, including its address, specialty, and other relevant details, was last updated or revised on 2023-11-27.

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