MEDICARE: MR. BRIAN STEVEN HOLLINGSWORTH LCMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	15861	NC

General Provider Information

NPI Number	:	1356948517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BRIAN STEVEN HOLLINGSWORTH LCMHC

Provider Business Mailing Address
First Line	:	6812 GLENDOWER RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27613-3804
Country	:	US
Telephone Number	:	919-605-4315
Fax Number	:

Provider Business Practice Location Address
First Line	:	4070 BARRETT DR
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609-6604
Country	:	US
Telephone Number	:	919-283-9330
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2020
Last Update Date	:	12/05/2025

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