Provider Demographics
NPI:1902362361
Name:HOLDCROFT, CASSANDRA JANE (LPC)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:JANE
Last Name:HOLDCROFT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:CASSANDRA
Other - Middle Name:JANE
Other - Last Name:MCCOY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:EDS, LPC, CPCS, MHC
Mailing Address - Street 1:8422 TANK CORPS WAY
Mailing Address - Street 2:
Mailing Address - City:FORT MOORE
Mailing Address - State:GA
Mailing Address - Zip Code:31905-7062
Mailing Address - Country:US
Mailing Address - Phone:706-250-0988
Mailing Address - Fax:
Practice Address - Street 1:8422 TANK CORPS WAY
Practice Address - Street 2:
Practice Address - City:FORT MOORE
Practice Address - State:GA
Practice Address - Zip Code:31905-7062
Practice Address - Country:US
Practice Address - Phone:706-250-0988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-11
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI765101YM0800X
GALPC011308101YM0800X
AL4644101YM0800X
TX84340101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health