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

MS. Shantaliea Holloway, LPC

Individual provider Professional Counselor · NPI 1437870771

MS. Shantaliea Holloway, LPC is a Mental Health Counselor in Loganville, Georgia. Qualified in 2001, 25 years ago. Practices with Hope 12 12 LLC, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
25
Licensed in
GA
In the registry since
2022
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1551 Rose Garden Ln
Loganville, GA 30052-2467
Phone: (678) 913-8032
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC005114 (GA)

Record details

NPI number1437870771
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedSeptember 6, 2022
Last updated in NPPESSeptember 6, 2022
Certification dateSeptember 6, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Hope 12 12 Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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