Provider Demographics
NPI:1568128031
Name:HOLLOWAY, HANNAH (LPC)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:HOLLOWAY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 ORCHARD HILL DR
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29170-3074
Mailing Address - Country:US
Mailing Address - Phone:610-314-8683
Mailing Address - Fax:
Practice Address - Street 1:213 ORCHARD HILL DR
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29170-3074
Practice Address - Country:US
Practice Address - Phone:610-314-8683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-09
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC01077400101YM0800X
SC9482101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health