Individual
HOLLY VANDERBILT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3044 SHALLOWFORD RD NE, ATLANTA, GA 30341-3641
(404) 666-4480
Mailing address
1317 FENWAY CIR, DECATUR, GA 30030-4521
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/04/2025
Last updated
10/04/2025
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