NPI age
14 years
Enumerated 2012-04-19
● Active
Type 1 · Individual
MR. Thadeus Mandrall Holloway, LPC
Holloway is 1 of 6 counselor providers in Mount Vernon and 1 of 7547 in Georgia.
Primary specialty
Counselor
Plus 3 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-10-20
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 7547 active counselor providers in Georgia.
NPI age
14 years
↑ 5 yr above median (9 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
3
In the 19% of peers with subspecialties
NPI lifetime · 2012 → 2026
2012-04Enumerated in NPPES
2012
2026
Where they practice
Practice location
305 W Spring St, Box 172
Mount Vernon, GA 304452837
Mailing address
Po Box 172, 305 West Spring Street
Mount Vernon, GA 304450172
Specialties
-
Counselor PrimaryDefinition to come...
-
CounselorA provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical...
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CounselorDefinition to come...
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CounselorDefinition to come...
Practice context
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.