Provider Demographics
NPI:1639381296
Name:HOLMES, CHERYL (LPC)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:HOLMES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:
Other - Last Name:DINSMORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:29000 US HIGHWAY 98 STE A102
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-7203
Mailing Address - Country:US
Mailing Address - Phone:251-626-5797
Mailing Address - Fax:251-626-5797
Practice Address - Street 1:29000 US HIGHWAY 98 STE A102
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-7203
Practice Address - Country:US
Practice Address - Phone:251-626-5797
Practice Address - Fax:251-626-5798
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALLPC01762101YM0800X
AL1762101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health