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NPI Code Detail

MEDICARE: HOLLY J MOTLEY LCSW-A

MEDICARE: HOLLY J MOTLEY LCSW-A
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
11041C0700XClinical Social WorkerP016923NC

General Provider Information

NPI Number : 1851179576
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLLY J MOTLEY LCSW-A
Provider Business Mailing Address
First Line : 1629 OLIVERS CROSSING CIR
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27127-7164
Country : US
Telephone Number : 336-582-1280
Fax Number :
Provider Business Practice Location Address
First Line : 2121 EASTCHESTER DR STE 105
Second Line :
City : HIGH POINT
State : NC
Zip : 27265-1535
Country : US
Telephone Number : 336-332-2277
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2023
Last Update Date : 09/15/2023

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Directions to “ HOLLY J MOTLEY LCSW-A” Practice Location

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