Search › Georgia › 101YP2500X
Thadeus Holloway, LPC
NPI 1245597848 · on the registry since 2012 · sole proprietor
Practice
- Address
- 305 W Spring St
Box 172
Mount Vernon, GA 30445 - Phone
- (912) 423-1000
- Fax
- (912) 583-0115
- Organisation at this address
- Road To Success
Road To SuccessInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101Y00000X
101YA0400X
101YM0800X - Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-10-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia