Neisha Nicole Holliday, is a
Student In An Organized Health Care Education/training Program based in Austell, Georgia. Neisha Nicole Holliday is licensed to practice in * (Not Available) (license number ) and her current practice location is
1319 Ling Dr, Austell, Georgia. She can be reached at her office (for appointments etc.) via phone at
(404) 514-2798.
NPI number for Neisha Nicole Holliday is 1104628361 and her current mailing address is 618 Thornton Road, Ste. 3 - 327, Lithia Springs, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104628361.
Healthcare Provider's Profile
| Full Name | Neisha Nicole Holliday |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1319 Ling Dr, Austell, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1104628361
- Provider Enumeration Date: 03/26/2025
- Last Update Date: 03/26/2025
Medical Identifiers
Medical identifiers for Neisha Nicole Holliday such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104628361 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Neisha Nicole Holliday is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Neisha Nicole Holliday,
618 Thornton Road, Ste. 3 - 327,
Lithia Springs, GA 30122-1518
Ph: () - | Neisha Nicole Holliday,
1319 Ling Dr,
Austell, GA 30168-5849
Ph: (404) 514-2798 |
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