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Holle Leath , LPC

Counselor - Professional β€’ Lagrange, GA

Active NPI 1730650763 Individual Practitioner Female Practitioner
Practice location in NPPES

705 Colquitt St
Lagrange, GA 302413605

Call 7063504014 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

705 Colquitt St

Lagrange, GA 302413605

Telephone 7063504014
Fax 7067860870
Organization at the Same NPPES Address or Phone
Vibe Healing Center, Llc Facility NPI 1609499706

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Lagrange and Georgia

56 active clinicians are listed under Counselor - Professional with a practice address in Lagrange, GA (6,500 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lagrange

0% of these 56 clinicians have the CMS telehealth indicator.

3.6% of these 56 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-05-26
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES GA LPC011079
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location May 26, 2022

Registered at 705 COLQUITT ST, LAGRANGE, GA 302413605 (Tel: 7063504014)

πŸ“
Updated Business Mailing Address May 26, 2022

Registered at 240 NEW FRANKLIN RD # 1028, LAGRANGE, GA 302402344 (Tel: 7063504014)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 26, 2022

Counselor (license number reported to NPPES: GA LPC011079)

πŸ‘€
Provider Name / Credentials Updated December 30, 2021

Recorded as HOLLE LEATH, LPC

βœ…
NPI Profile Active December 17, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 17, 2018

Registered at 610 RIDLEY AVE, LAGRANGE, GA 302402236 (Tel: 7068845050)

πŸ“
Business Mailing Address (Initial Record) December 17, 2018

Registered at 610 RIDLEY AVE, LAGRANGE, GA 302402236

πŸ‘€
Provider Name / Credentials (Initial Record) December 17, 2018

Recorded as HOLLE LEATH, LAPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2018

Counselor (license number reported to NPPES: GA APC005552)

🟒
Initial NPI Registration & Enumeration December 17, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1730650763
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 17, 2018
Last Update: May 26, 2022
Sole Proprietor: Yes

Mailing Address

240 New Franklin Rd # 1028

Lagrange, GA 302402344

Phone: 7063504014

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.