Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kechia J Holloway, CBHCMS0100302

Individual provider Community/Behavioral Health Agency · NPI 1861778672

Kechia J Holloway, CBHCMS0100302 is a Community/Behavioral Health Agency in Temple Terrace, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2011
Specialties on file
3

Practice location Address checks out

11700 N 58th St Ste D
Temple Terrace, FL 33617-1692
Phone: (813) 605-5555
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X · Licence CBHCMS.0100302 (FL)
Community/Behavioral Health Agency Taxonomy 251S00000X · Licence CBHCMS.0100302 (FL)
Case Management Agency Taxonomy 251B00000X · Licence CBHCMS.0100302 (FL)

Record details

NPI number1861778672
Entity typeIndividual (Type 1)
GenderFemale
Credentials CBHCMS0100302
Sole proprietorYes
NPI enumeratedOctober 25, 2011
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026

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