Most Relevant Information
Provider Data
| NPI Number: | 1003514423 |
| Provider Name: | FAITH MICHELE HOLSTON |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | APC009729 |
Most Important Dates
| Enumeration Date: | 02/16/2023 |
| Last Updated: | 08/09/2024 |
Provider Practice Location
1030 FAYETTEVILLE RD SE
ATLANTA
GA
303162921
Practice Location Phone/Fax
| Phone: | 4044869034 |
| Fax: |
Provider Mailing Location
1030 FAYETTEVILLE RD SE
ATLANTA
GA
303162921
Provider Mailing Phone/Fax
| Phone: | 4044869034 |
| Fax: |