Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Thadeus Mandrall Holloway, LPC

Individual provider Counselor · NPI 1245597848

Mr. Thadeus Mandrall Holloway, LPC is a Counselor in Mount Vernon, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2012
Specialties on file
4
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

305 W Spring St Box 172
Mount Vernon, GA 30445-2837
Phone: (912) 423-1000
Fax: (912) 583-0115
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC006790 (GA)
Counselor Taxonomy 101Y00000X · Licence LPC006790 (GA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LPC006790 (GA)
Mental Health Counselor Taxonomy 101YM0800X · Licence LPC006790 (GA)

Record details

NPI number1245597848
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedApril 19, 2012
Last updated in NPPESOctober 20, 2014

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