Theresa J Holt, EDD, LPC, NCC

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

License

LPC005030 Issued in GA

Practice address

7146 Southlake Pkwy
Morrow, GA 30260-3075

Phone

(770) 960-9961

NPI assigned

Apr 2, 2009

Sex

Female

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

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238630400000",
    "number": "1780826834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7146 SOUTHLAKE PKWY",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302603075",
            "telephone_number": "770-960-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7146 SOUTHLAKE PKWY",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302603075",
            "telephone_number": "770-960-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "THERESA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "EDD, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "GA",
            "license": "LPC005030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anbinh Ho, OD
• Holistic Healing Counseling Services LLC
• Brittney Nicole Hope, OTD, OTR/L
• Kendall Huff
• Nia Hunt
• CHI Truc Huynh, DDS
• Christy Huynh, M.D.

• Intellectual & Developmental Disabilities Psychologist in Morrow, GA
• Providers in Morrow, GA by specialty
• Intellectual & Developmental Disabilities Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.