Provider Demographics
NPI:1366144479
Name:HOLGUIN, GIOVANNI (LCSW)
Entity type:Individual
Prefix:MR
First Name:GIOVANNI
Middle Name:
Last Name:HOLGUIN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5108 DEER PATH LN
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30507-8893
Mailing Address - Country:US
Mailing Address - Phone:706-973-8323
Mailing Address - Fax:
Practice Address - Street 1:387 GROVE ST N STE C
Practice Address - Street 2:
Practice Address - City:DAHLONEGA
Practice Address - State:GA
Practice Address - Zip Code:30533-0457
Practice Address - Country:US
Practice Address - Phone:706-973-8323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-21
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0084881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical