Provider Demographics
NPI:1093870438
Name:HOLMES, JANET K (PHD)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:K
Last Name:HOLMES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 TROPHY CLUB DR
Mailing Address - Street 2:
Mailing Address - City:TROPHY CLUB
Mailing Address - State:TX
Mailing Address - Zip Code:76262-5422
Mailing Address - Country:US
Mailing Address - Phone:817-729-7807
Mailing Address - Fax:817-430-5819
Practice Address - Street 1:99 TROPHY CLUB DR
Practice Address - Street 2:
Practice Address - City:TROPHY CLUB
Practice Address - State:TX
Practice Address - Zip Code:76262-5422
Practice Address - Country:US
Practice Address - Phone:817-729-7807
Practice Address - Fax:817-430-5819
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18478101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional