Ms Shantaliea Holloway, LPC in Loganville, GA

Ms Shantaliea Holloway, LPC is a medicare enrolled "Counselor - Professional" provider in Loganville, Georgia. Her current practice location is 1551 Rose Garden Ln, Loganville, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 913-8032.

Ms Shantaliea Holloway is licensed to practice in Georgia (license number LPC005114) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1437870771.

Contact Information

	Ms Shantaliea Holloway, LPC
	1551 Rose Garden Ln, Loganville, GA 30052-2467
	(678) 913-8032
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Shantaliea Holloway
Gender	Female
Speciality	Counselor - Professional
Location	1551 Rose Garden Ln, Loganville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437870771
Provider Enumeration Date: 09/06/2022
Last Update Date: 09/06/2022

Medicare PECOS Information:

PECOS PAC ID: 8426570805
Enrollment ID: I20250314000467

Medical Identifiers

Medical identifiers for Ms Shantaliea Holloway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437870771	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC005114 (Georgia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Shantaliea Holloway allows following entities to bill medicare on her behalf.

Entity Name	Vitae Health Medical Georgia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184320574 PECOS PAC ID: 4183079577 Enrollment ID: O20231004002138

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Shantaliea Holloway is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Shantaliea Holloway, LPC Po Box 648, Grayson, GA 30017-0011 Ph: (678) 913-8032	Ms Shantaliea Holloway, LPC 1551 Rose Garden Ln, Loganville, GA 30052-2467 Ph: (678) 913-8032

Reviews and Comments

Counselor in Loganville, GA

Stacy W Froelich, LCSW Counselor Medicare: May Accept Medicare Assignments Practice Location: 299 Cooper Rd Ste A, Loganville, GA 30052 Phone: 678-643-6782 Fax: 770-962-0088
Whitney Milord, Counselor Medicare: Not Enrolled in Medicare Practice Location: 149 Lee Byrd Rd, Loganville, GA 30052 Phone: 404-547-8171
Mwangala Kristine Sibetta-pate, LCSW-LMSW Counselor Medicare: Medicare Enrolled Practice Location: 367 Athens Hwy Ste 1800, Loganville, GA 30052 Phone: 770-554-2999 Fax: 770-679-6390
Susan Fleming Spissman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1815 Kristins Way, Loganville, GA 30052 Phone: 678-618-5006
Jocelyn Rushin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 270 Randy Rd, Loganville, GA 30052 Phone: 404-493-0258
Dr. Carman Suzanne Clark, PSYCHOLOGIST, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 149 Lee Byrd Rd Ste 11, Loganville, GA 30052 Phone: 678-215-7236
Monique Laguerre, Counselor Medicare: Not Enrolled in Medicare Practice Location: 299 Cooper Rd Ste B, Loganville, GA 30052 Phone: 706-250-1769

Ms Shantaliea Holloway, LPC - Medicare Counselor in Loganville, GA