Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. THADEUS MANDRALL HOLLOWAY, LPC
Active Sole ProprietorMR. THADEUS MANDRALL HOLLOWAY, LPC is a Professional Counselor healthcare provider located in MOUNT VERNON, Georgia. NPI 1245597848 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · MOUNT VERNON, GA
Registration Details
- NPI Number
- 1245597848
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 19, 2012 (14.284522729228 yrs)
- Last Updated
- Oct 20, 2014
- Licenses
-
LPC006790 (GA)LPC006790 (GA)LPC006790 (GA)LPC006790 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
305 W SPRING STBOX 172MOUNT VERNON, GA, 304452837Browse GA providers · Browse ZIP 30445
- Phone
- 9124231000
- Fax
- 9125830115
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in MOUNT VERNON, GA
| Name | Credential | NPI |
|---|---|---|
| PAULETTE CHAVERS | M.ED, LPC | 1336551415 |
| SHONDA LAFAYE MADISON | LPC | 1659741221 |
| TYHESCIA WHITE | LPC | 1609229475 |
| CRYSTAL CONEY | LMSW | 1427628080 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.