Walter Sherard Holloway, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC007848 Issued in GA

Practice address

202 Olde Hickory Cir
Bonaire, GA 31005-3496

Phone

(478) 225-2508

NPI assigned

Sep 5, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: walterholloway@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Counselor

  NPD

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

{
    "created_epoch": "1630800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1649948407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 PHOENIX BLVD STE 240",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303495534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 OLDE HICKORY CIR",
            "city": "BONAIRE",
            "state": "GA",
            "postal_code": "310053496",
            "telephone_number": "478-225-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "WALTER",
        "middle_name": "SHERARD",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-05",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wholloway@teamcenturion.com",
            "affiliation": "Y",
            "affiliationName": "Centurion Health Systems, Inc",
            "address_1": "9106 N Garnett Rd",
            "city": "Owasso",
            "state": "OK",
            "country_code": "US",
            "postal_code": "740554401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Graceful Care Case Management
• Carroanita Hall
• Sheila Wilmore Hatcher, FNP-C
• Hannah G. Head, PHARM.D.
• Christopher Daniel Hogan
• Felicia E. Holston, LPN
• Naomi E Hooper, LNMT
• Houston Case Management
• Houston Hospitals Inc
• Clayton Hunt, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.