Holon Health Great Lakes, P.c.
Family Medicine in Glen Allen, Virginia
1194414805- Practice location
- 11551 Nuckols RD Ste R, Glen Allen, VA 23059-5565
- Phone
- 877-465-6650
- Fax
- 804-294-2775
- Last updated
- October 9, 2026
Holon Health Great Lakes, P.c. is a healthcare organization based in Glen Allen, VA. Holon Health Great Lakes, P.c. practices in Glen Allen, VA. The NPI Number for Holon Health Great Lakes, P.c. is 1194414805. The current practice location address for Holon Health Great Lakes, P.c. is 11551 Nuckols RD Ste R, Glen Allen, VA 23059-5565 and can be reached out via phone at 877-465-6650 and via fax at 804-294-2775.
Provider Profile Details
- NPI Number
- 1194414805
- Provider Name
- Holon Health Great Lakes, P.c.
- Provider Entity Type
- Organization
- Address
- 11551 Nuckols RD Ste R, Glen Allen, VA 23059-5565
- Phone Number
- 877-465-6650
- Fax Number
- 804-294-2775
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Organization Subpart
- No
- Authorized Official
- Jason Herzog · Ceo · 877-754-4694
- Other Names
- Holon Health (Doing Business As)
- Provider Enumeration Date
- May 8, 2023
- Last Update Date
- October 9, 2026
- Certification Date
- October 9, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11551 Nuckols RD Ste R
Glen Allen, VA 23059-5565 - City
- Glen Allen
- State
- Virginia
- Zip
- 23059-5565
- Phone Number
- 877-465-6650
- Fax Number
- 804-294-2775
Provider Business Mailing Address Details
- Address
- 3540 Pump RD # 1188
Richmond, VA 23233-1115 - City
- Richmond
- State
- VA
- Zip
- 23233-1115
- Phone Number
- 877-754-4694
- Fax Number
- 804-294-2775
License Information
- Taxonomy (1)
- Psychologist, Clinical · 103TC0700X
- Taxonomy (2)
- Case Manager/Care Coordinator · 171M00000X
- Taxonomy (3)
- Family Medicine · 207Q00000X · Primary
- Taxonomy (4)
- Internal Medicine · 207R00000X
- Taxonomy (5)
- Preventive Medicine, Addiction Medicine · 2083A0300X
- Taxonomy (6)
- Psychiatry & Neurology, Addiction Psychiatry · 2084P0802X
- Taxonomy (7)
- Nurse Practitioner · 363L00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Holon Health Great Lakes, P.c.?
The NPI number of Holon Health Great Lakes, P.c. is 1194414805. It was assigned on May 8, 2023 and is currently active in the NPPES registry.
What is the specialty of Holon Health Great Lakes, P.c.?
Holon Health Great Lakes, P.c. is registered under the primary taxonomy Family Medicine (code 207Q00000X).
Where does Holon Health Great Lakes, P.c. practice?
The practice location is 11551 Nuckols RD Ste R, Glen Allen, VA 23059-5565. The office can be reached at 877-465-6650 (phone) or 804-294-2775 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194414805 directly on the NPPES registry website.