IndividualActive
Charisse Holt
NPI 1750269403 · Case Management Agency · Georgetown, KY
Provider details
- NPI number
- 1750269403
- Entity type
- Individual
- Primary specialty
- Case Management AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Social Worker104100000X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Practice location
144 Hillside Dr
Georgetown, KY 40324-2114
Phone: (804) 651-0116
Fax: (804) 651-0116
Approximate (ZIP-level) locationGet directions
Mailing address
144 Hillside Dr
Georgetown, KY 40324-2114
Registry dates
- Enumerated
- 2025-08-21
- Last updated
- 2025-08-21
- Certified
- 2025-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.