Individual provider · Type 1 NPI

Neisha Nicole Holliday

Student in an Organized Health Care Education/Training Program · Austell, GA

NPI number 1104628361 Active

Practice location

1319 Ling Dr
Austell, GA 30168-5849

Call (404) 514-2798 Map

Mailing address

618 Thornton Road, Ste. 3 - 327
Lithia Springs, GA 30122-1518

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor 101YM0800XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104628361

Neisha Nicole Holliday's National Provider Identifier is 1104628361, issued on Mar 26, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Austell, GA. The record was last updated on Mar 26, 2025.