Provider Demographics
NPI:1447957709
Name:HOLLOWAY, ROBYN LEIGH
Entity type:Individual
Prefix:
First Name:ROBYN
Middle Name:LEIGH
Last Name:HOLLOWAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1226 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EMPORIA
Mailing Address - State:VA
Mailing Address - Zip Code:23847-6105
Mailing Address - Country:US
Mailing Address - Phone:434-634-5483
Mailing Address - Fax:434-634-5482
Practice Address - Street 1:1226 S MAIN ST
Practice Address - Street 2:
Practice Address - City:EMPORIA
Practice Address - State:VA
Practice Address - Zip Code:23847-6105
Practice Address - Country:US
Practice Address - Phone:434-634-5483
Practice Address - Fax:434-634-5482
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-07
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist
No385H00000XRespite Care FacilityRespite Care