MR. Thadeus Mandrall Holloway, LPC is a professional counselor in Mount Vernon, GA. MR. Thadeus Mandrall Holloway, LPC NPI is 1245597848. The provider is registered as an individual entity type. The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
305 W SPRING ST BOX 172 MOUNT VERNON, GA ZIP 30445-837 Phone: (912) 423-1000 Fax: (912) 583-0115
The enumeration date for this NPI number is 4/19/2012 and was last updated on 10/20/2014.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
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