SHAKORA HOLT LPT
NPI 1689130288
Licensed Psychiatric Technician in San Luis Obispo, CA

Q: What is Shakora Holt's NPI number?

The NPI number for Shakora Holt is 1689130288. It was assigned to this individual provider in the NPPES registry on February 19, 2019.

Q: What is Shakora Holt's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

Q: When was this NPI record last updated?

The NPPES record for Shakora Holt was last updated on March 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

Active since February 19, 2019

784 HIGH ST, SAN LUIS OBISPO, CA 93401(805) 540-6500(805) 540-6501 Get Directions Write a Review

NPPES record last updated: March 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2019, Feb 19, 2019 (2 updates tracked since 2019).

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About Shakora Holt Lpt NPPES

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

SHAKORA HOLT LPT (NPI 1689130288) is an individual licensed psychiatric technician in San Luis Obispo, California, licensed in California (34742) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1689130288

Entity TypeIndividualFemale

Primary Taxonomy167G00000X

Provider Legal NameSHAKORA HOLTCredential: LPT

Location Address784 HIGH STSan Luis Obispo, CA 93401-5243

Mailing AddressPo Box 15408San Luis Obispo, CA 93406-5408 · (805) 540-6500 · Fax (805) 540-6501

Phone(805) 540-6500

Fax(805) 540-6501

Sole ProprietorNo

Enumeration DateFebruary 19, 2019

Last NPPES UpdateMarch 6, 20192 updates tracked since enumeration

✔ NPI 1689130288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers

Taxonomy Code167G00000X

License✔ Licensed in CA · 34742

Definition

An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.

784 HIGH ST, San Luis Obispo, CA 93401

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Other Providers at the Same Location NPPES 20

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

RAYMOND SAINT TAVAREZ

Counselor (Mental Health)