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MR. WILLIAM K HOLLEY III LPC
NPI 1346548450
Counselor - Professional in Ellenwood, GA

Active since March 14, 2011PECOS Enrolled
2732 HOLLY BERRY DR, ELLENWOOD, GA 30294(404) 362-7904 Get Directions Write a Review

NPPES record last updated: March 14, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. William K Holley Iii Lpc NPPES

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

MR. WILLIAM K HOLLEY III LPC (NPI 1346548450) is an individual professional provider in Ellenwood, Georgia, licensed in Georgia (LPC002968) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346548450
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. WILLIAM K HOLLEY IIICredential: LPC
Location Address2732 HOLLY BERRY DREllenwood, GA 30294
Mailing Address2732 Holly Berry DrEllenwood, GA 30294 · (404) 362-7904
Phone(404) 362-7904
Sole ProprietorYes
Enumeration DateMarch 14, 2011
✔ NPI 1346548450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC002968
Also ListedCounselor · SchoolTaxonomy 101YS0200X · License 219809 (GA)
2732 HOLLY BERRY DR, Ellenwood, GA 30294
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. William K Holley Iii Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 William Holley's NPI number?

The NPI number for William Holley is 1346548450. It was assigned to this individual provider in the NPPES registry on March 14, 2011.

Where is William Holley located?

William Holley practices at 2732 Holly Berry Dr, Ellenwood, GA 30294. The listed phone number is (404) 362-7904.

What is William Holley's specialty?

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

Is William Holley enrolled in Medicare?

Yes. William Holley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for William Holley was last updated on March 14, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.