NPI 1225848401

Mitchell Charles Holloman, QMHPMPAPHD

Practitioner Prevention Professional Newport News, VA

Practice location

Address: 734 Middle Ground Blvd STE C, Newport News, VA 23606-4539
Phone: (757) 876-4450

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence $$$$$$$$$ (VA)

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Registry record

NPI: 1225848401
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jan 2025
Record last updated: 31 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.