Provider Demographics
NPI:1639540115
Name:MARGARET JANE HOLMES INC
Entity Type:Organization
Organization Name:MARGARET JANE HOLMES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CC, PENDING LMHC
Authorized Official - Phone:206-322-4707
Mailing Address - Street 1:2915 E MADISON ST STE 306
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98112-4254
Mailing Address - Country:US
Mailing Address - Phone:206-322-4707
Mailing Address - Fax:
Practice Address - Street 1:2915 E MADISON ST STE 306
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-4254
Practice Address - Country:US
Practice Address - Phone:206-322-4707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-09
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60524363101YM0800X
WACL 60152004251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No251B00000XAgenciesCase ManagementGroup - Single Specialty