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Individual

NEISHA NICOLE HOLLIDAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1319 LING DR, AUSTELL, GA 30168-5849
(404) 514-2798
Mailing address
618 THORNTON ROAD, STE. 3 - 327, LITHIA SPRINGS, GA 30122-1518

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
03/26/2025
Last updated
03/26/2025
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