Provider Demographics
NPI:1043944903
Name:HOLMES, BRITTANY (LCMHCA)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:HOLMES
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9701 CLOVERWOOD CT
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28270-1424
Mailing Address - Country:US
Mailing Address - Phone:704-718-3487
Mailing Address - Fax:
Practice Address - Street 1:6911 SHANNON WILLOW RD STE 500
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-1351
Practice Address - Country:US
Practice Address - Phone:704-807-6555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-14
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA17353101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health