Healthcare Provider Details

I. General information

NPI: 1538097746
Provider Name (Legal Business Name): HOLLY JONES, LCSW, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8601 MAYLAND DR STE B
HENRICO VA
23294-4703
US

IV. Provider business mailing address

4101 COX RD STE 200-32
GLEN ALLEN VA
23060-3320
US

V. Phone/Fax

Practice location:
  • Phone: 804-670-5951
  • Fax:
Mailing address:
  • Phone: 804-670-5951
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. HOLLY JONES
Title or Position: LICENSED MENTAL HEALTH THERAPIST
Credential: LCSW
Phone: 804-670-5951