Christopher Wayne Holland
Individual provider Active NPI Addiction (Substance Use Disorder) Psychologist · Maxwelton, WV
NPI 1245096155 · NPPES record last updated Feb 27, 2024
Key facts
- NPI
- 1245096155
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Psychologist 103TA0400X
- Practice address
- 414 Industrial Park Road
Maxwelton, WV 24957 - Phone
- (304) 497-2850
- NPI assigned
- Feb 27, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seneca Health Services, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | Yes |
Addresses
Primary practice location
414 Industrial Park Road
Maxwelton, WV 24957
Mailing address
4152 Grassy Meadows Rd
Dawson, WV 24910-9828
Other providers in Maxwelton, WV
- Patricia A Gore
- Michael Anthony Griggs
- Trisha Hanna
- Amanda Hedrick
- Jennifer Marie Highlander
- Ralph Hubbard
- Noel B Jewell
- Cindy Johnson
- Gennevieve Adrianne Johnson
- Alexis Jones
All providers in Maxwelton, WV · Addiction (Substance Use Disorder) Psychologist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.