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

NPI Status: Active since April 19, 2012

Contact Information

305 W SPRING ST
BOX 172
MOUNT VERNON, GA
ZIP 30445
Phone: (912) 423-1000
Fax: (912) 583-0115

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  • Individual
  • Male
  • Counselor
  • Professional

About THADEUS HOLLOWAY

This page provides the complete NPI Profile along with additional information for Thadeus Holloway, a provider established in Mount Vernon, Georgia with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1245597848 assigned on April 2012. The practitioner's primary taxonomy code is 101YP2500X with license number LPC006790 (GA). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1245597848
Provider Name
MR. THADEUS MANDRALL HOLLOWAY LPC
Gender
Male
Entity Type
Individual
Location Address
305 W SPRING ST BOX 172 MOUNT VERNON, GA 30445
Location Phone
(912) 423-1000
Location Fax
(912) 583-0115
Mailing Address
PO BOX 172 305 WEST SPRING STREET MOUNT VERNON, GA 30445
Mailing Phone
(912) 423-1000
Mailing Fax
(912) 583-0115
Is Sole Proprietor?
Yes
Enumeration Date
04-19-2012
Last Update Date
10-20-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
LPC006790
License State
GA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101Y00000XBehavioral Health & Social Service Providers

Counselor

LPC006790 (GA)
2101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

LPC006790 (GA)
3101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

LPC006790 (GA)

Reviews for MR. THADEUS MANDRALL HOLLOWAY LPC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245597848
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22851091488
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 1 + 0 + 9 + 1 + 4 + 8 + 8 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1245597848 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1326446659ROAD TO SUCCESS
Organization
Community/Behavioral Health305 W SPRING ST
MOUNT VERNON, GA 30445
(912) 423-0498
1881068005 AMBER MCARTHUR LMSW
Individual
Social Worker (Clinical)305 W SPRING ST
MOUNT VERNON, GA 30445
(912) 423-0498
1205283520ROAD TO SUCCESS
Organization
Counselor (Professional)305 W SPRING ST
MOUNT VERNON, GA 30445
(912) 423-0498
1336551415 PAULETTE CHAVERS M.ED, LPC
Individual
Counselor (Professional)305 W SPRING ST
MOUNT VERNON, GA 30445
(912) 423-0498
1609229475 TYHESCIA WHITE LPC
Individual
Counselor (Professional)305 W SPRING ST POST OFFICE BOX 172
MOUNT VERNON, GA 30445
(912) 423-0498

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245597848, enumerated in the NPI registry as an "individual" on April 19, 2012

The provider is located at 305 W Spring St Box 172 Mount Vernon, Ga 30445 and the phone number is (912) 423-1000

The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional

This NPI record was last updated on April 19, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.