Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MYA KIARA HOLT
Active Sole ProprietorIntellectual Disabilities Residential Treatment Facility · ELLICOTT CITY, MD
Registration Details
- NPI Number
- 1992454417
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 22, 2022 (4.0840588090762 yrs)
- Last Updated
- Feb 9, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
10309 CONGRESSIONAL CTELLICOTT CITY, MD, 210422124Browse MD providers · Browse ZIP 21042
- Phone
- 4108043587
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.