SHAURAYE HOLLOWAY
NPI 1417819665
Counselor - Addiction (Substance Use Disorder) in San Bernardino, CA

Active since November 25, 2025
939 N D ST, SAN BERNARDINO, CA 92410(909) 889-6519 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shauraye Holloway NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAURAYE HOLLOWAY (NPI 1417819665) is an individual addiction (substance use disorder) provider in San Bernardino, California, licensed in California (R1629070825) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1417819665
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSHAURAYE HOLLOWAY
Location Address939 N D STSan Bernardino, CA 92410-3519
Mailing Address939 N D StSan Bernardino, CA 92410-3519 · (909) 889-6519
Sole ProprietorYes
Enumeration DateNovember 25, 2025
NPPES CertifiedNovember 25, 2025
NPI 1417819665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in CA · R1629070825
939 N D ST, San Bernardino, CA 92410

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
939 N D ST
SAN BERNARDINO, CA 92410
Counselor (Addiction (Substance Use Disorder))
939 N D ST
SAN BERNARDINO, CA 92410
Clinic/Center (Rehabilitation, Substance Use Disorder)
939 N D ST
SAN BERNARDINO, CA 92410
Counselor (Addiction (Substance Use Disorder))
939 N D ST
SAN BERNARDINO, CA 92410
Student in an Organized Health Care Education/Training Program
939 N D ST
SAN BERNARDINO, CA 92410
Counselor (Addiction (Substance Use Disorder))
939 N D ST
SAN BERNARDINO, CA 92410
Counselor (Addiction (Substance Use Disorder))
939 N D ST
SAN BERNARDINO, CA 92410
Counselor (Addiction (Substance Use Disorder))
939 N D ST
SAN BERNARDINO, CA 92410

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shauraye Holloway's NPI number?

The NPI number for Shauraye Holloway is 1417819665. It was assigned to this individual provider in the NPPES registry on November 25, 2025.

Where is Shauraye Holloway located?

Shauraye Holloway practices at 939 N D St, San Bernardino, CA 92410. The listed phone number is (909) 889-6519.

What is Shauraye Holloway's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shauraye Holloway was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.