Organization Name: | DR. JAN HOLMES, LPC, PLLC |
NPI Number: | 1396019683 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANET HOLMES (OWNER) |
Mailing Address: | 99 Trophy Club Dr Trophy Club |
State: | TX US |
Postal Code: | 762625422 |
Phone Number: | 8174305805 |
Fax Number: | |
NPI Enumeration Date: | 03/04/2012 |
NPI Last Update Date: | 03/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 18478 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |