Provider Demographics
NPI:1245589043
Name:EAMES, HOLIDAY (LCMHC, NCC)
Entity Type:Individual
Prefix:
First Name:HOLIDAY
Middle Name:
Last Name:EAMES
Suffix:
Gender:F
Credentials:LCMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 20
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER STATION
Mailing Address - State:VT
Mailing Address - Zip Code:05159
Mailing Address - Country:US
Mailing Address - Phone:802-490-5115
Mailing Address - Fax:
Practice Address - Street 1:44 PARKS PLACE
Practice Address - Street 2:SCHOOL ST. EXT.
Practice Address - City:BELLOWS FALLS
Practice Address - State:VT
Practice Address - Zip Code:05101
Practice Address - Country:US
Practice Address - Phone:802-490-5115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-07
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health