Raphael Holloway, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC004538 Issued in GA

Practice address

2001 Martin Luther King Jr Dr. SW
Suite 540
Atlanta, GA 30310-3031

Phone

(404) 914-4782

NPI assigned

Apr 12, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• T2S Enterprises, LLC

  • Professional Counselor
  • Atlanta, GA
  • NPI 1083001796
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1215517339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5686 FULTON INDUSTRIAL BLVD SW",
            "address_2": "UNIT 44528",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30336",
            "telephone_number": "404-914-4782",
            "fax_number": "404-914-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MARTIN LUTHER KING JR DR. SW",
            "address_2": "SUITE 540",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303103031",
            "telephone_number": "404-914-4782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "RAPHAEL",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Holloway, PHARM.D.
• Kelvin J Holloway, MD
• Keri Alicia Holloway, MD
• Kimberli Holloway
• Parker Jewell Holloway IV
• Saadia Holloway, LMT
• Sarah Holloway
• Sharon Holloway, MD
• Stacie Dianne Holloway, FNP-BC
• Torrey Holloway

• Professional Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.