MEDICARE: HOLLY MAY LPC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1740136860
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLLY MAY LPC LLC

Provider Business Mailing Address
First Line	:	3139 SIDNEY RD
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29210-4430
Country	:	US
Telephone Number	:	803-470-5450
Fax Number	:	839-218-5828

Provider Business Practice Location Address
First Line	:	3139 SIDNEY RD
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29210-4430
Country	:	US
Telephone Number	:	803-470-5450
Fax Number	:	839-218-5828

Authorized Official
Title or Position	:	OWNER
Name	:	HOLLY MAY
Credential	:	LPC
Telephone Number	:	803-470-5450

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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Directions to “HOLLY MAY LPC LLC ” Practice Location

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