Organization
REBECCA M. HOLDGRAVE, LMFT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA MARIE HOLDGRAVE LMFT (PRESIDENT)
(404) 483-1852
Entity
Organization
Contact information
Practice address
2993 PIEDMONT RD NE, ATLANTA, GA 30305-2768
(404) 483-1852
Mailing address
3007 SMITH RIDGE TRCE, NORCROSS, GA 30071-2645
(404) 483-1852
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
LMFT917
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891847828
HUMANA
GA
Enumeration date
01/21/2009
Last updated
01/21/2009
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