Provider Demographics
NPI:1225163603
Name:HOLMES, JENNY GIBBS (LPC)
Entity Type:Individual
Prefix:MRS
First Name:JENNY
Middle Name:GIBBS
Last Name:HOLMES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:JENNY
Other - Middle Name:DIANE
Other - Last Name:GIBBS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:229 WINDY ACRES RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:FLEETWOOD
Mailing Address - State:NC
Mailing Address - Zip Code:28626-9687
Mailing Address - Country:US
Mailing Address - Phone:336-877-2812
Mailing Address - Fax:336-846-7397
Practice Address - Street 1:229 WINDY ACRES RIDGE RD
Practice Address - Street 2:
Practice Address - City:FLEETWOOD
Practice Address - State:NC
Practice Address - Zip Code:28626-9687
Practice Address - Country:US
Practice Address - Phone:828-964-8177
Practice Address - Fax:336-846-7397
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
NC5378101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional