Provider Demographics
NPI:1174600647
Name:HOLT, SELDEN (LCSW)
Entity type:Individual
Prefix:
First Name:SELDEN
Middle Name:
Last Name:HOLT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 N GREENSBORO ST
Mailing Address - Street 2:SUITE C6
Mailing Address - City:CARRBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27510-1833
Mailing Address - Country:US
Mailing Address - Phone:919-942-7363
Mailing Address - Fax:919-942-7379
Practice Address - Street 1:200 N GREENSBORO ST
Practice Address - Street 2:SUITE C6
Practice Address - City:CARRBORO
Practice Address - State:NC
Practice Address - Zip Code:27510-1833
Practice Address - Country:US
Practice Address - Phone:919-942-7363
Practice Address - Fax:919-942-7379
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0046791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical