Individual provider · Type 1 NPI
Walter Sherard Holloway, LPC
Professional Counselor · Bonaire, GA
NPI number
1649948407
Active
Practice location
202 Olde Hickory Cir
Bonaire, GA 31005-3496
Mailing address
1745 Phoenix Blvd Ste 240
Atlanta, GA 30349-5534
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC007848 (GA) |
Professional Counselor: Definition to come...
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About NPI 1649948407
Walter Sherard Holloway, LPC's National Provider Identifier is 1649948407, issued on Sep 5, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bonaire, GA. The record was last updated on Jun 5, 2026.