Doctor Name: | DALLAS HOLMES |
NPI Number: | 1184024515 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 34007034A |
Business Practice Address: | 450 Erie Ave Connersville, IN - 473313176 |
Business Phone Number: | 7658277890 |
Business Fax Number: | 7658256628 |
Mailing Address: | 1941 Virginia Ave, CONNERSVILLE |
State: | IN |
Postal Code: | 473312833 |
Phone Number: | 7658278933 |
Fax Number: | 7658277863 |
NPI Enumeration Date: | 09/04/2014 |
NPI Last Update Date: | 12/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 34007034A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |