Provider Demographics
NPI:1225122948
Name:HOLMES, GARNET (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:GARNET
Middle Name:
Last Name:HOLMES
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8800 UNIVERSITY PKWY
Mailing Address - Street 2:SUITE C 2
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514-4927
Mailing Address - Country:US
Mailing Address - Phone:850-478-1166
Mailing Address - Fax:850-478-4878
Practice Address - Street 1:8800 UNIVERSITY PKWY
Practice Address - Street 2:SUITE C 2
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514-4927
Practice Address - Country:US
Practice Address - Phone:850-478-1166
Practice Address - Fax:850-478-4878
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH0002659101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ4567OtherBCBS ID#