Provider Demographics
NPI:1679274872
Name:HOLLIMAN, ALEECE
Entity type:Individual
Prefix:
First Name:ALEECE
Middle Name:
Last Name:HOLLIMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1584 VAN VLECK AVE SE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30316-2150
Mailing Address - Country:US
Mailing Address - Phone:470-532-8986
Mailing Address - Fax:
Practice Address - Street 1:309 PIRKLE FERRY RD STE B100
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-2548
Practice Address - Country:US
Practice Address - Phone:470-206-8250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-14
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW0086751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical