Provider Demographics
NPI:1497273437
Name:HOLMES, JULIANNA M (LMHC)
Entity Type:Individual
Prefix:
First Name:JULIANNA
Middle Name:M
Last Name:HOLMES
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:JULIANNA
Other - Middle Name:M
Other - Last Name:HOLMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:645 S ROGERS ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47403-2353
Mailing Address - Country:US
Mailing Address - Phone:812-339-1691
Mailing Address - Fax:
Practice Address - Street 1:35 BOB BABBS DR
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:IN
Practice Address - Zip Code:47460-6828
Practice Address - Country:US
Practice Address - Phone:812-829-4871
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39003099A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health