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MR. THADEUS MANDRALL HOLLOWAY LPC
NPI 1245597848
Counselor - Professional in Mount Vernon, GA

Active since April 19, 2012
305 W SPRING ST, BOX 172, MOUNT VERNON, GA 30445(912) 423-1000(912) 583-0115 Get Directions Write a Review

NPPES record last updated: October 20, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Thadeus Mandrall Holloway Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. THADEUS MANDRALL HOLLOWAY LPC (NPI 1245597848) is an individual professional provider in Mount Vernon, Georgia, licensed in Georgia (LPC006790) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1245597848
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. THADEUS MANDRALL HOLLOWAYCredential: LPC
Location Address305 W SPRING ST, BOX 172Mount Vernon, GA 30445-2837
Mailing AddressPo Box 172, 305 West Spring StreetMount Vernon, GA 30445-0172 · (912) 423-1000 · Fax (912) 583-0115
Phone(912) 423-1000
Fax(912) 583-0115
Sole ProprietorYes
Enumeration DateApril 19, 2012
Last NPPES UpdateOctober 20, 2014
✔ NPI 1245597848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC006790
Also ListedCounselorTaxonomy 101Y00000X · License LPC006790 (GA)
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LPC006790 (GA)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LPC006790 (GA)
305 W SPRING ST, Mount Vernon, GA 30445
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROAD TO SUCCESS
Counselor (Professional)
305 W SPRING ST
MOUNT VERNON, GA 30445
Montgomery County (912) 423-0498
ROAD TO SUCCESS
Community/Behavioral Health
305 W SPRING ST
MOUNT VERNON, GA 30445
Montgomery County (912) 423-0498
PAULETTE CHAVERS M.ED, LPC
Counselor (Professional)
305 W SPRING ST
MOUNT VERNON, GA 30445
Montgomery County (912) 423-0498
TYHESCIA WHITE LPC
Counselor (Professional)
305 W SPRING ST, POST OFFICE BOX 172
MOUNT VERNON, GA 30445
Montgomery County (912) 423-0498
AMBER MCARTHUR LMSW
Social Worker (Clinical)
305 W SPRING ST
MOUNT VERNON, GA 30445
Montgomery County (912) 423-0498

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thadeus Holloway's NPI number?

The NPI number for Thadeus Holloway is 1245597848. It was assigned to this individual provider in the NPPES registry on April 19, 2012.

Where is Thadeus Holloway located?

Thadeus Holloway practices at 305 W Spring St Box 172, Mount Vernon, GA 30445. The listed phone number is (912) 423-1000.

What is Thadeus Holloway's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Thadeus Holloway was last updated on October 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.