Doctor Name: | MRS. CARLA HOLMES |
NPI Number: | 1548538564 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | |
Business Practice Address: | 604 Kimbrough Ave Bldg Q Tallulah, LA - 71282 |
Business Phone Number: | 3185740098 |
Business Fax Number: | 3185740066 |
Mailing Address: | P.o. Box 9177, MONROE |
State: | LA |
Postal Code: | 71211 |
Phone Number: | 3185740098 |
Fax Number: | 3185740066 |
NPI Enumeration Date: | 12/05/2011 |
NPI Last Update Date: | 12/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |