Individual provider · Type 1 NPI
Shantaliea Holloway, LPC
Professional Counselor · Loganville, GA
NPI number
1437870771
Active
Practice location
1551 Rose Garden Ln
Loganville, GA 30052-2467
Mailing address
PO Box 648
Grayson, GA 30017-0011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC005114 (GA) |
Professional Counselor: Definition to come...
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About NPI 1437870771
Shantaliea Holloway, LPC's National Provider Identifier is 1437870771, issued on Sep 6, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Loganville, GA. The record was last updated on Sep 6, 2022.