Individual provider · Type 1 NPI
Raphael Holloway, LPC
Professional Counselor · Atlanta, GA
NPI number
1215517339
Active
Practice location
2001 Martin Luther King Jr Dr. SW, Suite 540
Atlanta, GA 30310-3031
Mailing address
5686 Fulton Industrial Blvd SW, Unit 44528
Atlanta, GA 30336
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC004538 (GA) |
Professional Counselor: Definition to come...
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About NPI 1215517339
Raphael Holloway, LPC's National Provider Identifier is 1215517339, issued on Apr 12, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Atlanta, GA. The record was last updated on Apr 12, 2021.