Individual
REBECCA HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1410 PICKWICK ST, SAVANNAH, TN 38372-3519
(731) 925-5699
(731) 658-1597
Mailing address
10710 OLD HIGHWAY 64, BOLIVAR, TN 38008-3587
(731) 203-1011
(731) 658-1597
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC4933
TN
101YP2500X
Professional Counselor
LPC4933
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3706936
—
TN
Enumeration date
06/29/2020
Last updated
02/19/2024
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