MEDICARE: HOLT ASSESSMENT SERVICES

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1831721596
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLT ASSESSMENT SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 752
Second Line	:
City	:	WELDON
State	:	NC
Zip	:	27890-0752
Country	:	US
Telephone Number	:	252-541-3833
Fax Number	:	252-541-3832

Provider Business Practice Location Address
First Line	:	622 UNIT C ROANOKE AVENUE
Second Line	:
City	:	ROANOKE RAPIDS
State	:	NC
Zip	:	27870
Country	:	US
Telephone Number	:	252-541-3833
Fax Number	:	252-541-3832

Authorized Official
Title or Position	:	OWNER/CLINICAL DIRECTOR
Name	:	SHELIA HOLT
Credential	:
Telephone Number	:	252-532-0296

Provider Enumeration Date	:	02/10/2020
Last Update Date	:	05/31/2026

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