| Doctor Name: | COURTNEY FIELDS HOLMES |
| NPI Number: | 1356758155 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.S.W. |
| License Number: | CSW005179 |
| Business Practice Address: | 207 S Columbia Ave Ste C Rincon, GA - 313269027 |
| Business Phone Number: | 9126566212 |
| Business Fax Number: | |
| Mailing Address: | Po Box 4301, PORT WENTWORTH |
| State: | GA |
| Postal Code: | 314074301 |
| Phone Number: | 9126566212 |
| Fax Number: | |
| NPI Enumeration Date: | 07/14/2014 |
| NPI Last Update Date: | 12/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | CSW005179 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |