Individual provider · Type 1 NPI
Holle Leath, LPC
Professional Counselor · Lagrange, GA
NPI number
1730650763
Active
Practice location
705 Colquitt St
Lagrange, GA 30241-3605
Fax (706) 786-0870
Mailing address
240 New Franklin Rd # 1028
Lagrange, GA 30240-2344
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC011079 (GA) |
Professional Counselor: Definition to come...
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About NPI 1730650763
Holle Leath, LPC's National Provider Identifier is 1730650763, issued on Dec 17, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lagrange, GA. The record was last updated on May 26, 2022.